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Whilst prevalence of its self-directed use is difficult to calculate accurately, there is evidence of significantly increased use amongst IPED users in the UK (Evans-Brown & McVeigh, 2009a, Begley et al, 2017)

The drugs include Mounjaro, also known as tirzepatide, and semaglutide, which is sold under the brand names Wegovy, Ozempic and Rybelsus

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The same study also showed that AtGSTU1 and AtGTU24 genes were significantly altered and involved in susceptibility

The situation is part of a wider problem, with independent pharmacists often given lower reimbursement rates than larger retail chains