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If a referral letter was issued, you can view it in the Documents section of your account
Last month, the administration acknowledged the rise in providers offering compounded semaglutide-like products, warning consumers that the compounds remain unapproved and have not been evaluated by the TGA for safety, quality or efficacy, echoing warnings from the FDA
The primary long-term considerations are GI tolerability (which tends to improve over time), liver function monitoring (berberine can occasionally elevate liver enzymes, particularly at higher doses), and the persistent CYP450 inhibition that requires ongoing awareness of medication interactions whenever the medication list changes
Constipation, addressed in the tirzepatide constipation treatment guide