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Compounded tirzepatide formulations often include additional substances not present in Zepbound, such as vitamin B12, niacinamide, or ondansetron

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10.1093/toxsci/kfj111 63 KlicekR.KolencD.SuranJ.DrmicD.BrcicL.AralicaG.et al (2013)

It cannot be stressed enough that obesity is a disease, and the disease is associated with a higher risk of certain other conditions, compared with people who are considered a healthier weight, says Samantha Cassetty, a registered dietitian based in New York City and the coauthor of Sugar Shock