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However, subcutaneous injection may result in different tissue-level concentrations compared to oral supplementation, and even small amounts of NAD+ precursor could have local effects in adipose tissue near the injection site

Katsiki N et al

It's bizarre this isn't already happening and illustrates exactly why an outright ban is needed until regulation can be improved to keep patients safe

Profound Changes in Food Noise & Cravings Once youve been cruising on tirzepatide for several months, you might not even notice that food noise, or the spontaneous compulsions to eat, have partially or completely dissolved

Still others experience side effects that are too severe or disruptive to stay on the medications