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They include but are not limited to hamster cheeks, moon faces, flabby chins, turkey necks, crows feet, bloated bellies, saggy breasts, constipation, mood swings and being shaped like an apple or bookshelf

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On June 19, 2026, Victorias Chief Health Officer reported six cases of acute liver injury since January in people who used an unapproved product labelled as retatrutide, sold under names including Reta, R-10, and R-20. Investigations found abnormal liver function with transaminitis, possible raised bilirubin, and coagulopathy