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Medical supervision matters: Tirzepatide requires dose escalation and monitoring for side effects like nausea, pancreatitis, and gallbladder issues

"You have no way of actually knowing as an American patient if you're getting the real deal or if you're getting a counterfeit, because it's really easy to lie on the internet and it's super easy to counterfeit a drug," Baney said

Novo Nordisk, the manufacturer, offers discount cards for Ozempic, Wegovy, and Rybelsus that can lower your monthly costs if you have private or employer-sponsored insurance and meet eligibility requirements

The rise comes as more patients turn to these drugs for weight loss, including some who are using compounded or online versions without a prescription

Compounded versus brand-name semaglutide: reconstitution differences Not all semaglutide is created equal, and the reconstitution process differs significantly depending on which form you are working with