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The FDA has explicitly warned that botulinum toxin products from outside the approved US supply chain including those marketed as research grade or sourced from overseas compounders are not approved for human use and present serious risk of systemic botulism, which can cause difficulty breathing, swallowing, and speaking, and can be fatal

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Minor injuries that would linger for weeks resolve in days

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The combination shows approximately 15-18% weight loss, falling between semaglutide alone and tirzepatide

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