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Summary: Combining retatrutide and sermorelin in a stack has no clinical evidence base, and both compounds are unlicensed in the UK, making this combination potentially dangerous and legally problematic

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More serious but rare adverse events include pancreatitis (0.2% incidence), gallbladder disease requiring surgical intervention, and medullary thyroid carcinoma risk in genetically predisposed individuals (contraindicated in patients with personal or family history of MTC or MEN2 syndrome)