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Her death certificate, seen by the BBC, lists multiple organ failure, septic shock and pancreatitis as the immediate cause of death but "the use of prescribed tirzepatide" is also recorded as a contributing factor

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Other long-term considerations include gastrointestinal adaptation (most patients find side effects diminish significantly after the first 3-6 months), nutritional deficiencies that can develop with prolonged reduced caloric intake, and the psychological adjustment of maintaining a dramatically different body weight and relationship with food

The service operates entirely online, which allows users to complete consultations from home without scheduling in-person appointments

AOD-9604 is a peptide that has been researched for its potential to aid in weight loss and fat reduction