According to the Symptoms, including severe pain during menstruation, heavy menstrual bleeding, back and pelvic pain, pain during intercourse, and, in some people, problems with fertility, occur when tissue similar to the endometrium, or uterine lining, grows outside the uterus
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Tirzepatide is a sensitive peptide, and vigorous shaking can damage the molecules, potentially making the medication less effective
Neurochem Res 31(5):651658