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Brand-name tirzepatide (Mounjaro, Zepbound) faces similar cost and access barriers, but compounded versions are available through pharmacies including Empower

Common GI effects: abdominal pain 30% (placebo 22%), nausea 23% (20%), vomiting 12% (10%), flatulence 9% (7%) [1]

Reduced diversity and altered composition of the gut microbiome in individuals with myalgic encephalomyelitis/chronic fatigue syndrome

Aim for moderate exercise, such as brisk walking, swimming, or yoga, which can help regulate hormones without over-stressing the body

Dickenson AH, Sullivan AF

First, Lets Appreciate the Shoulders Complexity Before we can talk about solutions, we have to respect the problem