Then, theres the muscle itself
Data (Animal) In a combined fertility and embryofetal development study in rats, subcutaneous doses of 0.01, 0.03 and 0.09 mg/kg/day (0.1-, 0.4-, and 1.1-fold the MRHD) were administered to males for 4 weeks prior to and throughout mating and to females for 2 weeks prior to mating, and throughout organogenesis to Gestation Day 17
None of the 25 topically applied products listed semaglutide, tirzepatide, or another FDA-approved GLP-1 or GLP-1/GIP agonist as an active pharmaceutical ingredient
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21,22 They can be continued with close monitoring in patients following a ketogenic diet, although some providers prefer to stop them