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For individuals with a BMI of 40 or above, or 35 and above with significant comorbidities, bariatric surgery may be considered following assessment by a specialist multidisciplinary team

When you combine them, these side effects can become more pronounced and unpleasant, potentially impacting your ability to tolerate the medication and adhere to your treatment plan

This process keeps food in your stomach longer, which helps you feel satisfied with smaller portions

However, many everyday factors can cause both of these symptoms, including the common cold and sinus infections

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The medication is compounded under 503A or 503B compounding pharmacy regulations, and while these pharmacies are state-regulated, they do not undergo the same federal approval process as brand-name tirzepatide (Mounjaro or Zepbound)