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The couple acknowledged the serious risks of the drug - including nausea, vomiting or even pancreatitis - but said it was necessary to help them manage their weight.

Rarer side effects include acute gallstone disease and pancreatitis, and the NHS warns that there is also a risk of hypoglycaemia, which happens when your blood sugar level drops too low.

It is thought more than 61,000 patients in the UK need it, including those with pancreatic cancer, cystic fibrosis and chronic pancreatitis.

Her death certificate, seen by the BBC, lists multiple organ failure, septic shock and pancreatitis as the immediate cause of death – but "the use of prescribed tirzepatide" is also recorded as a contributing factor.

What happened: “Our dog, Sugar, was hospitalized for pancreatitis. She had to be interned in a pet hospital for 24 hours, for one week.”