The pharmacokinetics of tirzepatide after a single 5 mg dose was evaluated in patients with different degrees of hepatic impairment (mild, moderate, severe) compared with subjects with normal hepatic function [see Use in Specific Populations (8.7)]
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(PubMed) Ubbink JB, Vermaak WJ, van der Merwe A, Becker PJ, Delport R, Potgieter HC
Cold exposure has been practiced for centuries without identified chronic harms in otherwise healthy individuals