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The FDA collected 480 adverse event reports for compounded tirzepatide products, but these reports do not distinguish between problems caused by tirzepatide itself versus problems caused by contamination, incorrect dosing, or inactive ingredients in the compounded formulation

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If youre nervous about this, you can also get glucomannan in drink mixes or even added to food products (hot tip: its the main ingredient in shirataki noodles)

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10.1016/j.isci.2023.106057 Summary Keywords drug mechanism, metformin, type 2 diabetes, gastrointestinal tract, gut microbiota Citation Cheng M, Ren L, Jia X, Wang J and Cong B (2024) Understanding the action mechanisms of metformin in the gastrointestinal tract