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Currently Synedica Retatrutide Injection Pen Kits are only available with a prescription in Germany from private clinics

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While tirzepatide has been investigated in type 1 diabetes contexts, its GLP-1 and GIP receptor agonism affects pancreatic function in ways that may interact unpredictably with pancreatic autoimmune processes

No other issues were flagged, according to Alvotech

Contact your medical provider if you experience: Vomiting or diarrhea that does not improve Dizziness, fainting, or feeling like you may pass out Very little urination Confusion or extreme weakness Inability to keep fluids down Severe or worsening abdominal pain Signs of dehydration that do not improve with fluids Symptoms that become worse after a dose increase You should also reach out if you are unsure whether your symptoms are related to your medication, summer heat, dehydration, or another health concern