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Description
Avoid greasy, fatty, and oily foods that cause nausea

Liraglutide and exenatide have been associated with the development of thyroid C-cell tumors in rodents after lifetime exposure at supratherapeutic doses [169]

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Oral bioavailability in humans has not been formally published, so any dose number here is a community-pattern reference, not a clinically validated dose

Patients will begin using tirzepatide at a low dose, which will be scaled as their body becomes used to the medication

Dose: 2.5mg subcutaneous injection, same day each week Expected side effects: Mild nausea (40% of users), decreased appetite, possible fatigue Expected weight loss: 3-5 pounds (mostly water and glycogen initially) Critical actions: Establish meal timing, begin protein tracking, identify your nausea triggers Most users find weeks 1-2 surprisingly manageable
