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A BBC investigation has found that its being sold online through websites, social media sites like Instagram, and even in some beauty salons

However, concurrent use should only occur under medical supervision with careful monitoring for additive side effects, particularly gastrointestinal symptoms

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clinician determines final eligibility Who shouldn't apply: Personal or family history of medullary thyroid carcinoma or MEN 2 syndrome, history of pancreatitis, certain severe GI or kidney conditions, pregnancy, or breastfeeding - clinician screens at intake FDA regulatory status as of June 2026: Active enforcement and regulatory change ongoing