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Many tirzepatide tablets sold online are unapproved products, and the FDA has publicly warned about safety, quality, counterfeit labeling, and dosing problems with unapproved GLP-1 drugs marketed for weight loss (FDA warning on unapproved GLP-1 drugs)

In clinical studies, nausea severity generally peaks at the beginning of therapy and gradually resolves even without medication changes

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They were finely powdered and homogenized