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The FDA classifies compounded semaglutide and tirzepatide as Category C (animal effects observed, no human data), making preconception discontinuation the conservative, evidence-supported standard

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Let the water run slowly down the vial wall where it will contact the powder gently

However, there are also less common but more severe side effects, such as pancreatitis, gallbladder disease, or kidney issues, which require immediate medical attention

However, with patent expiration approaching, the competitive landscape is expected to evolve