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There have been very limited reports of ipamorelin causing even such minor side effects

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7 Gester, G.C., Jr., Chem

But "no contraindication" is not the same as "proven safe." It means the combination has not been formally studied in clinical trials and that regulators have not identified a prohibitory signal from available data

Ask the provider specifically: "Under what legal authority is this tirzepatide being compounded?" If they cannot give you a clear answer, or if they dismiss the question, that is a significant warning sign

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