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Tirzepatide isn't absorbed through the gut

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Compounded formulations use the same active pharmaceutical ingredients as branded versions but with provider-directed customization

Common side effects that you may experience when taking Januvia or Janumet include: Upper respiratory infection Stuffy or runny nose and sore throat Headache Nausea, vomiting, diarrhea Upset stomach and indigestion (dyspepsia) Swelling of the hands or legs Low blood sugar (hypoglycemia) in people who take Janumet along with certain other medicine for diabetes

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