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The mechanism behind sulfur burps likely relates to one of tirzepatide's effects: delayed gastric emptying

If you miss a dose by fewer than 5 days, take it as soon as you remember and resume your normal weekly schedule

Proinflammatory mediators such as interleukin-6 (IL-6), interleukin-1 (IL-1), and LPS have also been reported to directly stimulate GLP-1 secretion from intestinal endocrine L cells

For patients with diabetes, careful glucose monitoring is essential, particularly during dose titration, to identify and prevent hypoglycemia
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Potential risks, contraindications, and monitoring requirements are reviewed during consultation