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Serious but rare adverse events requiring immediate medical attention include severe abdominal pain potentially indicating pancreatitis, symptoms of gallbladder disease including right upper quadrant pain and jaundice, severe dehydration from persistent vomiting or diarrhea, allergic reaction symptoms including rash, swelling, or difficulty breathing, and significant vision changes or severe persistent headaches

The MHRA also advises that purchasing retatrutide outside of a regulated clinical trial is not legally sanctioned in the UK, and products sold online claiming to be retatrutide may be counterfeit, mislabelled, or unsafe

Dermatology 67: 211-215 von Bartenwerffer W et al

PMID: 40636240 13 Antiretroviral treatment leading to secondary trimethylaminuria: Genetic associations and successful management with riboflavin