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What side effects should I watch for when combining these approaches

In the SURPASS trial series for type 2 diabetes, tirzepatide achieved hemoglobin A1C reductions of 1.92.6% depending on dose, with many patients reaching non-diabetic glucose levels

Patients with Hepatic Impairment In adult patients with mild, moderate, and severe hepatic impairment according to the Child-Pugh classification, AUC of empagliflozin increased by approximately 23%, 47%, and 75%, and Cmax increased by approximately 4%, 23%, and 48%, respectively, compared to subjects with normal hepatic function

Is compounded Tirzepatide actually safe, or is this a gray-market thing