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Eli Lilly, the manufacturer of Zepbound and Mounjaro (tirzepatide), also warns about the risks of what it calls counterfeit mass-produced compounded medications

For example, they can cause increased heart rate and blood pressure (hypertension), which can increase the risk of heart problems

Manufacturer: Eli Lilly & Company List price (USA): According to Eli Lilly, the list price of Trulicity is $977.42 per month 5