You may be unsuitable for this slimming injection if you: Have any known allergies to ingredients in it Are breastfeeding, pregnant or planning to conceive Are over 75 years old or under 18 years Have severe heart failure Have diabetes and currently take other medications containing GLP-1 (lixisenatide or exenatide) or have hypoglycaemia (low blood sugar) Have severe gut or stomach problems like inflammatory bowel disease or gastroparesis (delayed stomach emptying) Have severe kidney or liver disease or on dialysis Ensure you mention to your weight loss doctor the following conditions: Pancreatic diseases Diabetes Gallstones or inflamed gallbladder A racing heart or heart palpitations Thyroid diseases, including enlargement of the thyroid gland and thyroid nodules Mild to moderate kidney or liver disease A condition requiring you to take anticoagulants such as warfarin Inflamed gallstones or gallbladder Included in our protocol, is screening for the above, so when you access our service, we will assess you to ensure safety of these medications

Risks include counterfeit product, broken cold chain, customs seizure, and no US recourse if something goes wrong
In addition, the SUMMIT trial evaluates the effect of tirzepatide (the GLP-1/GIP dual receptor agonist) in people with obesity-related HFpEF (Clinicaltrials.gov ID NCT04847557)
Not eligible : Once status is Queued for Shipment , change-of-mind cancellations are not possible
Diabetes (2016) 65(1):3443
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