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[8] Causes of "false" melena include iron supplements, Pepto-Bismol, Maalox, and lead, blood swallowed as a result of a nose bleed (epistaxis), and blood ingested as part of the diet, as with consumption of black pudding (blood sausage), or with the traditional African Maasai diet, which includes much blood drained from cattle

It must be thoroughly swabbed with a sterile alcohol pad and allowed to air dry for about 30 seconds before every puncture

The main additional side effects come from injection site reactions, which remain mild and transient for most users

Sourcing legitimate compounded tirzepatide requires finding a provider who works with reputable compounding pharmacies