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Current Therapeutic Research 1986;39(3):429-435

These include: Nausea Vomiting Diarrhea Constipation Bloating and abdominal discomfort Gastrointestinal Tolerability and Dose Escalation For both tirzepatide and retatrutide, gastrointestinal symptoms are most pronounced during the initial initiation phase and immediately following a dose escalation step

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doi: 10.3389/fendo.2018.00130

Vitamin B12 is found naturally in many foods, including fish, seafood, liver, beef and dairy products and is added as a supplement to foods like cereals, to help ensure proper nutrition