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However, there are some very small differences between these products: For some people, these products take effect at different rates

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Fentanyl would be expected to cause non-eupneic breathing with more variation in phase length as the respiratory rate drops 122,129

Zepbound has not been studied in patients with a history of pancreatitis, or with severe gastrointestinal disease, including severe gastroparesis, and it is unknown if patients with a history of pancreatitis are at higher risk for developing pancreatitis on Zepbound

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A deficiency in B12 can lead to fatigue and restlessness, which may interfere with the ability to fall asleep