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Severe side effects of the medication are: Severe gastrointestinal problems Low blood sugar levels (hypoglycemia) Changes in vision due to diabetic retinopathy pancreatitis Gallbladder problems Hypoglycemia Allergic reaction to the medication Severe stomach pain Risk of aspiration during sedation or anesthesia Mood and behavioural changes Suicidal ideation Limitations Semaglutide is contraindicated for patients with a history or family history of thyroid cell tumors (MTC) and endocrine cancers (MEN 2 syndrome) because the medication increases the risk of these tumors in rodent studies

The closest alternative is compounded semaglutide from a licensed 503B compounding pharmacy

While both medications are dosed in mg, Tirzepatide has a different concentration and dosing schedule

If you are considering microdosing, discuss your reasons with a licensed clinician and ask about alternative solutions

Look for peanut butter that contains minimal ingredients ideally just peanuts and possibly salt and consider skipping products that contain added sugar or hydrogenated vegetable oils