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Description
According to the UK Summary of Product Characteristics (SmPC), the most frequently reported adverse effects are gastrointestinal in nature , including nausea, vomiting, diarrhoea, constipation, abdominal pain, decreased appetite, and gastro-oesophageal reflux disease

This means that Munjaro activates GLP-1 without causing habituation
According to the shipping manifests, Canada, the United Kingdom, and India were the countries with the largest number of suspect shipments

Respiratory system Rhinitis Nasal congestion Sneezing Rhinorrhea (nasal discharge) Dyspnea (difficult or labored breathing) Gastrointestinal system Nausea Vomiting Diarrhea Abdominal pain Constipation Bloating Feelings of fullness after eating any amount Nervous system Headache Dizziness Circulatory system Hypotonia (weakened muscle tone) Tachycardia (rapid heart rate) Collapse Skin Sudden facial erythema (flushing) Pruritus (itchy dry skin) Rashes Eczema Swelling Reproductive system Irregular periods in women What Causes Histamine Intolerance
Obesity is increasingly recognized as a chronic, relapsing disease rather than a temporary condition or lifestyle choice

The standard tirzepatide escalation schedule moves from 2.5 mg to 5 mg after four weeks, then up in 2.5 mg increments at four-week intervals
