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Serious side effects are rare but include severe abdominal pain, pancreatitis symptoms, or signs of hyperthyroidism (rapid heartbeat, tremors)

Tirzepatide doesnt directly change thyroid hormone production, but weight loss and improved metabolism can influence how your body uses thyroid hormones

doi: 10.1016/j.jhepr.2019.07.002 188 SanyalAJ

The mild form can cause hemolytic anemia, with such symptoms as fatigue, pale skin, lightheadedness, and shortness of breath

Combining phentermine and Wegovy (semaglutide) is not recommended because both drugs affect appetite through different mechanismsphentermine stimulates your nervous system while semaglutide activates GLP-1 receptorscreating unpredictable cardiovascular effects and increasing the risk of heart palpitations, elevated blood pressure, and arrhythmias

This allows patients to administer the injection when its most convenient for them