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The FDA states that Zepbound activates GLP-1 and GIP hormone receptors to reduce appetite and food intake

This process can develop gradually over years, often beginning with subtle signs like a white coating on the tongue or bloating after consuming fruit, symptoms that are easy to overlook in a busy schedule

This applies to leaving medication in the car overnight in cold climates, gel packs that froze the vial through direct contact, or checked luggage that reached freezing temperatures in the cargo hold