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Other factors affecting maternal smoking include residence in a tobacco- producing state and education level

Additionally, some herbal digestive aids containing senna or cascara can worsen the gastrointestinal side effects (nausea, constipation, diarrhea) that some people experience during the first weeks of tirzepatide therapy

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16,17 SYSTEMIC HEALTH EFFECTS AND TOXICITY Many federal, state, and local government officials have determined that synthetic drug use is a public health threat