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Patients currently using compounded semaglutide or tirzepatide should discuss transitioning to FDA approved formulations with their healthcare provider

The percentages above are from separate trials with different populations and durations, so direct comparison requires caution

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Watch for cumulative gastrointestinal effects (nausea, vomiting, diarrhoea), dehydration, cognitive changes from topiramate, and metabolic disturbances

376,377,378 In a dexamethasone-induced muscle atrophy model, Ex-4 ameliorated muscle atrophy by inhibiting muscle atrophy factor and enhancing myogenic factors (MyoG and MyoD), thereby increasing muscle mass and function