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In April 2026, Haryana drug control authorities seized counterfeit Mounjaro injections worth nearly 70 lakh in Gurugram, raising concerns about unsafe manufacturing and storage in the wider supply chain (India Today, April 2026)

As an active ingredient in supplements it is not recommended, because in addition to its low efficacy a low cyanide pollution also occurs

A phase 3 trial called REDEFINE-1 included over 3,400 people who were overweight or obese with one or more comorbidities (like hypertension or cardiovascular disease), but not type 2 diabetes

Empagliflozin allows a significant amount of sugar to be removed through urination

It mimics endogenous GLP-1, enhancing glucose-dependent insulin secretion, decreasing glucagon secretion, and significantly reducing appetite and energy intake, which leads to clinically meaningful weight loss

Summary: Mounjaro should typically be resumed after surgery once normal oral intake is established, bowel function has returned, and the surgical team provides explicit clearance