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Two products can carry the same label and still not be the same substance, which matters a lot more when something is being injected or used systemically

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Patients who failed to meet specific glycemic goals during the trial were treated with metformin HCl rescue, added on to existing trial medication

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[22] If a patient is already taking berberine, consider temporarily reducing the dose or discontinuing it during tirzepatide initiation and dose escalation, then cautiously reintroducing it once tirzepatide dose is stable and tolerability established