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We do not recommend a strict all-carb-elimination (keto) approach, as cutting carbs entirely can cause low-blood-sugar symptoms in some patients

So, if a change in urine odor is being observed, it's not a direct side effect of the compound in the way that nausea or injection site reactions are

PubMed Central PMCID: PMCPMC3765578.

On November 8, 2023, the FDA approved Mounjaro (branded as Zepbound) for chronic weight management in overweight and obese adults with at least one weight-related condition (such as high blood pressure, type 2 diabetes or high cholesterol.) This approval is in addition to a reduced-calorie diet and increased physical activity

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