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Food that should spend 2-4 hours in your stomach now lounges there for 6-8 hours, marinating in digestive juices and beginning to ferment

Arterburn DE, Telem DA, Kushner RF, et al

Serious but rare adverse effects include: Acute pancreatitis (patients should be advised to seek immediate medical attention for severe, persistent abdominal pain) Gallbladder disease, including cholecystitis and cholelithiasis Acute kidney injury, particularly in the context of dehydration from gastrointestinal side effects Hypoglycaemia, especially when used alongside other glucose-lowering medications Thyroid C-cell tumours (observed in rodent studies

In response, those beta cells increase insulin production

As a result, you lose even more weight than tirzepatide.