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Notably, however, the unstable product flavan-3,3,4-triol ( 4 ) is converted mainly into the by-products epidihydroquercetin ( 9 ), dihydroquercetin ( 10 ) and quercetin ( 11) 13 , while the transformation into the coloured anthocyanidin has only been observed as a minor side reaction in vitro 11,12,13 or in vivo by engineered microorganisms 6,16

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However, your doctor may need to get prior authorization and demonstrate to your insurance company why you need to take Zepbound, such as obesity and a health condition like high blood pressure, high blood sugar, or high cholesterol

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