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If you are pregnant, of childbearing age, or notice sudden and severe pain accompanied by dizziness, fainting, or a rapid heartbeat, it could point to an emergency situation like internal bleeding

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doi: 10.1186/S13643-016-0384-4/FIGURES/6

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While semaglutide acts only on GLP-1 receptors, tirzepatide acts on both GLP-1 and GIP receptors