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Semaglutide and Tirzepatide cannot be prescribed to anyone with the following conditions and should not be purchased: BMI under 26, Gastroparesis (paralysis of your intestines), Triglycerides over 600 at any point, Pancreatic cancer, Pancreatitis, Type 1 diabetes, Hypoglycemia (low blood sugar), Insulin-dependent diabetes, Thyroid cancer, Family history of thyroid cancer, Personal or family history of Multiple Endocrine Neoplasia (MEN-2) syndrome, Anorexia or bulimia, Current symptomatic gallstones, Drug or alcohol abuse, Recent bariatric surgery, Diabetic retinopathy, current pregnancy or breastfeeding, plans to become pregnant, or history of allergic reaction to Semaglutide or Tirzepatide

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Possible Side Effects or Concerns Nausea, diarrhea, headache, or an unpleasant taste Acneiform or rosacea-like eruptions reported in some people using high doses Allergic reaction to cobalt, B12, flavoring, dye, preservative, or another ingredient Incorrect dosing caused by confusing drops, droppers, milliliters, and micrograms Delayed diagnosis when fatigue or neurologic symptoms are assumed to be just low B12 Misinterpretation of a high blood B12 level after supplementation Medicine and Health Considerations Metformin and gastric acid inhibitors can lower B12 status over time

Effect of sodium phenylbutyrate/taurursodiol on tracheostomy/ventilation-free survival and hospitalisation in amyotrophic lateral sclerosis: long-term results from the CENTAUR trial