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Almost all of these products come from compounding pharmacies rather than Novo Nordisk, the only manufacturer of FDA-approved semaglutide

Some researchers have even reported cases of severe thiamine (vitamin B1) deficiency leading to Wernicke encephalopathy, a potentially dangerous neurological condition

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32 The Gln 19 adopted in tirzepatide seems to be crucial to GIP activity, but may still affect GLP-1 activity
