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Both medications reduce appetite for food and fluids, making it easy to underhydrate without realizing it
The glucagon component is the critical differentiator
Vosoughi K, Atieh J, Khanna L, Khoshbin K, Prokop LJ, Davitkov P, et al
Her labs revealed she'd become anemicnot because tirzepatide caused anemia, but because she'd unconsciously eliminated most red meat from her diet (it made her feel too full), and she wasn't compensating with iron-rich plant foods or supplements
These can indicate degradation even if the vial appears unchanged
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