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Those are all important outcomes, Yancy says
At week 6-8, repeat lupus-specific labs (complement, anti-dsDNA, CBC, urinalysis) even if you feel fine

Stay hydrated Dehydration can mimic hunger signals

Some side effects can be serious

The Protein Crisis: Why Rapid Weight Loss Can Be Risky Tirzepatide (Mounjaro, Zepbound) is a powerful tool for weight reduction, but its effectiveness creates a unique nutritional challenge

A 1,000 mcg sublingual B12 supplement or a tirzepatide formulation with B12 addresses this concern
