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These are custom-formulated by licensed compounding pharmacies based on GLP-1 active ingredients (semaglutide or tirzepatide)
BMC Infect Dis (2009) 9:167
doi: 10.1530/EJE-10-1130 33 Al-AdsaniHHofferLJSilvaJE
Symptoms are more likely to appear or temporarily worsen when the dose is increased , which is expected and reflects how the body adjusts to higher levels of the medication rather than a sign that treatment is unsafe
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