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Serious but rare risks include pancreatitis (abdominal pain with vomiting) and kidney issues if eGFR drops below 30

Telemedicine is fully established in Texas, and TOM is operated by a Texas-licensed, board-certified physician

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If you have a histamine allergy, you're pregnant or breastfeeding, have significant nutrient deficiencies, or take multiple medications, talk to your physician first

A few are worth asking explicitly: Which pharmacy fills the prescription, and is it a 503A or a 503B facility