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Description
Thyroid C-cell tumors , including medullary thyroid carcinoma (MTC), have been observed in rodent studies, though causality in humans has not been established

However, bismuth has been used therapeutically to treat a variety of ailments, most particularly syphilis

2,3 Patients commonly complain of facial numbness or eye irritation

For this reason, most providers frame tirzepatide, whether injectable or sublingual, as a long-term medication
