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10.1191/0960327102ht213oa 111 MatkarS

They can also be taken once or twice daily at intervals of at least 6 hours to control symptoms

Suicidal Thoughts or Behaviors : For patients using Zepbound for weight management, monitor for new or worsening depression, suicidal thoughts, or unusual changes in mood or behavior

It is not approved by the FDA as a dietary supplement ingredient, so it cannot be legally marketed as a supplement, but it is also not a controlled substance