Many cyanobacteria (and microalgae broadly) are safe to eat, though not every strain of cyanobacteria has a GRAS certification.5 Under the GRAS framework, an ingredient has to be demonstrated as safe either through (1) scientific procedures or (2) in the case of a substance used in food prior to January 1, 1958, through experience based on common use in food. For cyanobacteria to be used as a platform for oral GLP-1 delivery, either a GRAS organism like spirulina must serve as the host organism or, if choosing a different species, the manufacturer must prove with adequate in vivo trial data that it is safe to eat
Focus on nutrient-rich foods like fruits, veggies, whole grains, and lean proteins
Phentermine combined with tirzepatide has also been explored, though this combination requires careful consideration of cardiovascular effects
They can occur externally or internally, and may manifest as painless rectal bleeding or as anal pain, itching, or swelling