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The primary risk is therapeutic failurepatients may experience rising blood glucose levels, inadequate appetite suppression, or weight regain if using compromised medication
Quality oversight is much looser: state pharmacy boards regulate them, not federal manufacturing standards (e.g., GMPs for commercial drug makers)
Blood pressure also dipped more often on tirzepatide (about 1-2% of people, compared with 0.1% on placebo), especially in people already taking blood pressure medicine, and that can cause lightheadedness when standing up
Endocr J 2010
What is Carnitene (L-Carnitine) used for
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