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Signs include severe confusion, vomiting, seizures, slow or irregular breathing, bluish skin, and inability to rouse

Feng, B., Zhang, N., Duan, K

Cardiologists are encouraged to strongly consider the CV benefits of GLP-1 RAs in their risk-reduction strategies

As a reference guide, the amount my skin's faded after not using it for a year, after using it for a year straight prior to that, I know how much this stuff can permanently darken your skin and how long the tan lasts, and her current skin color is definitely indicative of her still injecting it to this day on her own to continue getting darker, or maintain how dark she is