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however, no differences were observed in T3, T4, or TSH levels.31 An increased risk of osteopeniaup to fourfold higherhas been reported in patients with PG vs individuals without gray hair.32 Nevertheless, more recent studies failed to confirm this association.33 In cases of PG, a laboratory work-up may be necessary, including iron studies, vitamin B12, folic acid, 25-hydroxyvitamin D, thyroid profile, and antithyroid antibodies.3133 Clinical features Gray hair primarily results from an optical phenomenon

Its fluid texture with colour minimises the white residue

So far, clinical trials and post-marketing data have not identified heart palpitations as a common or direct side effect of tirzepatide

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