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I called, was put on hold then transferred to an escalation line, then they accidentally hung up on me and eventually called me back

Elevated cortisol levels lead to cravings for unhealthy foods, making it difficult for Tirzepatides appetite-suppressing properties to work as intended

Sources : Nutan.net , FDA guidelines on transdermal products, cosmetic regulatory databases

They are likely multifactorial and may involve delayed gastric emptying, altered intestinal fluid secretion, and central nervous system effects on gut function