If you notice strong jitters, fast heartbeat, or headaches, do not increase the dose and speak with a health professional before continuing
10.1016/j.yrtph.2020.104665 80 Zemba CilicA.ZembaM.CilicM.BalenovicI.StrbeS.IlicS
GLP-1 RAs are known to delay gastric emptying and can exacerbate constipation, particularly in patients with pre-existing risk factors, such as prior abdominal surgery, adhesive disease, cirrhosis with ascites, and the use of multiple constipating medications
Some medications utilized in medically managed weight loss and wellness programs are considered to be used off label and may not be FDA approved for weight loss or health improvement purposes.
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To put the truth into perspective, its been comprehensively looked at in a David McAuley article in Global RPh, which is aimed at helping physicians, clinical researchers, and healthcare professionals understand the risks of this stack