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The most commonly reported effects are mild and transient: slight redness at the injection site, occasional mild fatigue in the first few days of a protocol reflecting the circadian recalibration effect, and in some patients a temporary increase in dream vividness associated with improved REM architecture

Fortified foods usually include milk alternatives and breakfast cereals, and selections vary depending on the country

Clinical monitoring and patient safety advice includes: Gastrointestinal symptoms : Patients should report severe or persistent nausea, vomiting, or abdominal pain, which may indicate pancreatitis (a warning in tirzepatide labeling) or require dose adjustment

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