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People with a BMI between 27 and 30 qualify only with prediabetes, a previous heart attack or stroke, or symptomatic peripheral artery disease

Protoplasma 252:14511459 Chakraborty K, Bose J, Shabala L, Shabala S (2016) Difference in root K+ retention ability and reduced sensitivity of K+-permeable channels to reactive oxygen species confer differential salt tolerance in three brassica species

You should be aware that certain supplements may interfere with GLP-1 action and if in the future you have clients on weight loss drugs taking any supplements, you should suggest they have them checked by the medical professional prescribing their GLP-1

Cano LQ, Lavery DN, Bevan CL

Quick Answer: Heart palpitations are not listed as a common side effect of tirzepatide in FDA prescribing information, and clinical trials have not established a direct causal link between tirzepatide use and palpitations