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It can involve insulin resistance, higher androgen levels, acne, facial hair growth, irregular ovulation, weight gain, inflammation, cholesterol changes, blood sugar problems, fatty liver risk, and increased cardiovascular risk

Very common side effects (affecting more than 1 in 10 people) include nausea, diarrhoea, vomiting, constipation, and decreased appetite

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All this has led some patientsand even some pharmaciesto go outside the normal channels to obtain these weight loss medications

The risk is highest for vendors who sell prescription medications, market products for human consumption, operate at large scale, or have already received warning letters

On the other hand, Zepbound (tirzepatide) targets two hormones involved in appetite and blood sugar regulation GLP-1 and GIP