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The FDA has transitioned to a "new era" of proactive enforcement, issuing warning letters to telehealth and pharmaceutical companies to eliminate misleading promotional claims and ensure a fair balance of risks and benefits regarding approved and compounded GLP-1 medications

Tirzepatide with vitamin B12 and tirzepatide with glycine are formulations that some compounding pharmacies offer, aiming to support energy and metabolic function during weight loss

It is recommended over other ergogenic aids because of its demonstrated capacity to boost muscular strength, power, and fat-free mass, all of which improve exercise and athletic performance (173)