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Dosing errors have also been found with compounded tirzepatide, which many companies offer as an alternative to Mounjaro or Zepbound

And again, intuitively, that makes sense because it's derived naturally from basically a fruit sugar type situation

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Factors such as stress, sleep deprivation, hormonal changes, and concurrent medications (including corticosteroids and some antipsychotics) can all influence how effectively Ozempic suppresses appetite