BH4 is a required cofactor for the enzyme tryptophan hydroxylase , which converts tryptophan to 5-HTP
When access to effective treatment is delayed or restricted, employers absorb greater long-term financial risk

Water, Glycerin, Niacinamide (50, 000 Ppm), Methylpropanediol, Propanediol, 1, 2-hex- Anediol, Dipropylene Glycol, Caprylic/capric Triglyceride, Glyceryl Glucoside, Butylene Glycol, Arginine, Ethylhexyl Palmitate, Carbomer, Cetearyl Alcohol, Cetearyl Olivate, Sor- Bitan Olivate, C12-14 Alketh-12, Ammonium Acryloyldimethyltaurate/vp Copolymer, Simethicone, Ethylhexylglycerin, Melia Azadirachta Flower Extract, Melia Azadirachta Leaf Extract, Adenosine, Polyacrylate-13, Disodium Edta, Cyanocobalamin, Triethyl Ci- Trate, Betaine, Polyisobutene, Glyceryl Stearate, Hydrolyzed Sclerotium Gum, Tranexamic Acid, Abelmoschus Esculentus (Okra) Fruit Extract, Panthenol, Coccinia Indica Fruit Extract, Corallina Officinalis Extract, Polysorbate 20, Sorbitan Isostearate, Glutathione, Fragaria Vesca (Strawberry) Fruit Extract, Castanea Crenata (Chestnut) Shell Extract, Citrus Junos Peel Extract, Betula Platyphylla Japonica Bark/leaf Extract, Ricinus Communis (Castor) Seed Oil, Bisabolol, Ferulic Acid, Cymbopogon Citratus Leaf Oil, Illici- Um Verum (Anise) Fruit/seed Oil, Octyldodecanol, Hydrolyzed Hyaluronic Acid, 3-0-ethyl Ascorbic Acid, Sodium Hyaluronate, Alpha-arbutin, Hydrogenated Lecithin, Ceramide Np, Hydroxypropyltrimonium Hyaluronate, Caprylyl Glycol, Sodium Acetylated Hyaluronate, Hyaluronic Acid, Sodium Hyaluronate Crosspolymer, Hydrolyzed Sodium Hyaluronate, Potassium Hyaluronate Ingredients may change

Common symptoms include: Autonomic symptoms: Trembling, palpitations, sweating, anxiety, hunger, and tingling sensations Neuroglycopenic symptoms: Difficulty concentrating, confusion, weakness, drowsiness, vision changes, difficulty speaking, and headache Severe symptoms: Seizures, loss of consciousness, or inability to self-treat Patients taking tirzepatide with insulin or sulfonylureas should be educated to recognize these warning signs and respond appropriately