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These toxicants are rapidly absorbed via the pulmonary circulation, distributed systemically, and delivered to the liver, where they exert toxic effects [124]

[12] [15] The FDA label for Zepbound (tirzepatide for weight management) includes a specific warning about heart rate increases and recommends monitoring heart rate at baseline and periodically during treatment, particularly in patients with cardiac disease

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The next step is to run through some simple orthopedic tests to try and differentiate what might be going on

Both deliver semaglutide subcutaneously at the same dosing intervals