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Increase fiber gradually, adding too much too quickly can worsen bloating and gas, especially on a medication that already slows digestion

discontinue and seek medical attention if you experience persistent severe abdominal pain Gallbladder disease - including gallstones Hypoglycemia - particularly when combined with other glucose-lowering medications Increased heart rate The compounded medication caveat: Compounded formulations of semaglutide and tirzepatide have not undergone FDA review for safety, effectiveness, or manufacturing quality

The one of greatest interest is called myostatin

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