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When prescribed and monitored by a licensed healthcare professional and sourced from a reputable and legitimate compounding pharmacy, the use of tirzepatide with niacinamide is considered safe in common practice

Contact your healthcare provider if you experience persistent dizziness, lightheadedness, or fainting
You take it, you lose weight, you achieve the clinical goal, and the question of long-term maintenance becomes secondary

They may include fillers, dyes, coatings, preservatives, flavors, or other formulation ingredients

doi: 10.1038/nrd.2016.75
