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Most people do not experience severe side effects from a single expired dose

obscura (10 mg/kg body wt ip) for 5 days (Hamsa and Kuttan, 2011)

10.1001/jamaophthalmol.2015.1440 JAMA Ophthalmol

What to eat instead: Whole fruits (fibre slows sugar absorption), Greek yoghurt without added sugar (add fresh berries), oats, quinoa, whole-grain bread, sweet potato, brown rice in moderate portions

What baseline labs does the article say to establish before starting

These trials demonstrated that tirzepatide was highly effective for weight reduction in individuals with obesity or those who were overweight with at least one weight-related condition