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An Australian study found instances where contamination with undeclared plant materials, heavy metals and prescription drugs, such as warfarin, have been reported in unregistered herbal products

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Supplementary Materials Data Availability Statement All the relevant data are available from the corresponding authors upon reasonable request.

patients should be counseled to report symptoms such as neck mass, dysphagia, or persistent hoarseness Contraindication : Personal or family history of MTC or MEN2 Gallbladder disease : Tirzepatide may increase risk of gallstones and cholecystitis Acute kidney injury : Dehydration from gastrointestinal adverse effects may impair renal function Pancreatitis : Patients should be counseled to report severe, persistent abdominal pain Niacin-specific safety concerns: Hepatotoxicity : Baseline liver function tests and monitoring during dose titration and periodically thereafter are recommended