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Products should only be obtained with a prescription from a licensed health care provider and from a state-licensed pharmacy or outsourcing facility that is registered with the FDA

This dysfunction affects not only the endothelial cells of the coronary vessels but more crucially those in the intramyocardial capillaries and endocardium, where they interact directly with adjacent cardiomyocytes [12]

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The most significant safety concern is an FDA boxed warning for a potential risk of medullary thyroid carcinoma (MTC)

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