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When calorie intake drops significantly, energy levels often follow and the vitamins that support normal energy metabolism become harder to get through food alone

thyroid cancer or hyperthyroidism, gastroparesis, pancreatic cancer or pancreatitis, MEN2 syndrome, or inflammatory bowel disease)

They are also not recommended for those who are pregnant, breastfeeding, or actively trying to conceive

Summary of Revisions: Standards of Medical Care in Diabetes2020

Recent pharmacovigilance research has identified elevated reporting odds ratios for hair loss with semaglutide (2.46) and tirzepatide (1.73), suggesting a real association between these medications and increased shedding

They feel like absolute dog shit