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The short answer is no, but I'm not going to go down the legal litigation here." At first, Zappy told people they could fill out a Google form to get a refund or replacement vials, but customers tell NPR that nothing has come of it yet

Ensure gastrointestinal function has returned before restarting medication GLP-1 agents slow gastric emptying and can exacerbate nausea, vomiting, or ileus

This process produces substances that help trigger GLP-1 production

Sun damage, smoking, and hydration also play a role

In the UK and EU, these are included as warnings and precautions in the product information, rather than formal contraindications (unlike in the US, where they appear as boxed warnings and contraindications)

Mary Claire Haver is a board-certified OB-GYN and certified menopause practitioner