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There are certain side effects that are expected, especially when you first begin the treatment

Medications that can cause sulfur burps include those used to treat diabetes, like metformin, and drugs used to handle gastroesophageal reflux disease (GERD), including omeprazole

That is clinical data from one of the largest and most rigorous tirzepatide weight loss studies ever conducted
The maximum approved dose is 15 mg weekly

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Constipation may intensify as gastric motility slows further