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These therapies interact with natural pathways involved in appetite and glucose balance, and are prescribed following a medical evaluation

It includes substances that are not on the List, but that WADA wishes to monitor in order to detect potential patterns of misuse in sport

However because of methodological difficulties the data does not allow for a very confident prediction

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Until these results are published and reviewed by regulatory bodies, the musculoskeletal side-effect profile cannot be definitively characterised

For complete information on these combination formulations, read our dedicated guides on tirzepatide with B12 and tirzepatide with niacinamide