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Ozempic and Wegovy are available as pre-filled injection pens

doi:10.1080/15563650.2018.1475672 Sandilands EA, Bateman DN

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Do Not Use Zepbound If You Have a personal or family history of medullary thyroid carcinoma Have Multiple Endocrine Neoplasia syndrome type 2 Have had a serious allergic reaction to tirzepatide or any of the ingredients in Zepbound Warnings and Precautions Severe gastrointestinal disease not recommended for patients with severe gastroparesis Acute pancreatitis Acute gallbladder disease Hypoglycemia with concomitant insulin or insulin secretagogue use Hypersensitivity reactions including anaphylaxis and angioedema Acute kidney injury Diabetic retinopathy complications in patients with a history of diabetic retinopathy Suicidal behavior and ideation monitor for new or worsening depression or unusual mood changes Pulmonary aspiration during general anesthesia or deep sedation delayed gastric emptying may increase aspiration risk Most Common Adverse Reactions Nausea, diarrhea, vomiting, constipation Abdominal pain and dyspepsia Injection site reactions Fatigue Hypersensitivity reactions Eructation, hair loss, gastroesophageal reflux disease Hormonal Contraception Interaction Zepbound may reduce the effectiveness of oral hormonal contraceptives

The biology of obesity includes genetic predisposition, neurohormonal signaling disruptions (particularly in the hypothalamus) and alterations in appetite-regulating hormones

BUILD Helps in muscle building SHAPE Helps in weight loss and get into shape NAD NAD (nicotinamide adenine dinucleotide) is an essential cofactor and coenzyme that is present in almost every cell in your body