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Domains assessed included randomization process, allocation concealment, blinding of participants and personnel, blinding of outcome assessment, incomplete outcome data, selective reporting, and other sources of bias

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Furthermore, data from numerous prospective studies indicate that animal protein, a significant component of various ketogenic diets, may elevate the risk of chronic kidney disease (CKD) 58,59

High thyroid hormone levels (hyperthyroidism)

The blend typically costs $20-80 more per month than plain compounded tirzepatide