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The FDA has noted that semaglutide sodium and semaglutide acetate are different active ingredients than those used in approved drugs, and similar concerns may apply to compounded tirzepatide formulations

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Signs of Excessive Bleeding (High Anticoagulation): Unexpected or frequent nosebleeds Bleeding gums after brushing Unusually heavy menstrual periods Bruises that appear without a known injury or are larger than normal Cuts that take a long time to stop bleeding Dark, tarry stools or blood in the urine Signs of Clotting Risks (Low Anticoagulation): Sudden swelling, warmth, or redness in a leg or arm Shortness of breath or sharp chest pain Sudden weakness or numbness, particularly on one side of the body Changes in vision or speech If you notice any of these symptoms while taking Wegovy or a compounded semaglutide alternative, contact your healthcare provider immediately

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