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[1] [3] Zepbound carries a Boxed Warning about thyroid C-cell tumors that have occurred in rodent studies

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Cotinine can also be detected in the urine if the person has been exposed to secondhand smoke, so its possible the participants could have been exposed to second-hand smoke in the days leading up to the collection of urine sample or they were bending the truth quite a bit, the researchers concluded

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Nicotine addiction can be difficult to break due to physical dependence and psychological cravings