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Monitor potassium levels in patients at risk for hypokalemia, if indicated (e.g., patients using potassium-lowering medications, patients taking medications sensitive to serum potassium concentrations)

Lack of oversight in the compounding facility could impact medication sterility, dosage accuracy, and stability.Essential Extras: Cyanocobalamin (Vitamin B12) and niacinamide (Vitamin B3) are sometimes added by compounding pharmacies to semaglutide or tirzepatide formulations

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Intermittent fasting can act as a stressor, and when combined with GLP-1s (which already suppress appetite), it may not be well tolerated

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