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[3] Clinical trials of tirzepatide, including the SURPASS and SURMOUNT programs involving over 10,000 participants, have not demonstrated a signal for increased incidence of thyroid cancer or thyroid nodules compared to placebo or active comparators during treatment periods up to two years
Even strict vegetarians (vegans) show no signs of carnitine deficiency, despite the fact that most dietary carnitine is derived from animal sources (9)
Limited evidence exists that semaglutide directly causes b12 deficiency in most patients
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