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While both compounds produce gastrointestinal side effects common to all incretin-based therapies, their severity and impact on treatment continuation differ markedly
In addition, hearing loss is more common in men (Agrawal 2008)
Patients considering compounded tirzepatide should only obtain it from licensed pharmacies and under close medical supervision
Int J Clin Pract Suppl
Commercial payers generally reimburse at higher rates, often 120% to 200% of the Medicare fee schedule depending on the contract
Choueiri says Zappy's low prices mean it doesn't have much money left over after paying pharmacies and providers, and "Zappy does not control the funds necessary to issue refunds." The Facebook group has grown to more than 600 people
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