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The slowing of gastric emptying that helps patients feel full longer can, in some users, progress to a severe and potentially permanent disruption of normal digestive function

Ask the prescribing clinician specifically about the current compounding status of the medication format being prescribed - injectable versus oral, 503A versus 503B sourcing - and what happens if that format becomes unavailable

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The clinical presentation can be insidious, with symptoms developing so gradually that patients may not recognise the changes until deficiency becomes severe

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