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Main exclusion criteria included BMI 20 kg/m, type 1 diabetes mellitus, type 2 diabetes mellitus, previous treatment with insulin or with oral hypoglycemic or insulin-sensitizing agents, history of malignancy, and hypopituitarism

Whether Integrative Peptides uses similar external verification or relies on internal or contract lab testing remains unclear from their public materials

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Who should avoid this combination Individuals with a history of thyroid cancer or MEN 2 syndrome should not use tirzepatide, and therefore should not use this combination