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Tirzepatide alone causes nausea in 20 to 40% of users during titration

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Accepting this reality and planning for it produces better outcomes than hoping for exceptional results

For example, Hortelao et al

The altered ATM phenotype therefore cannot explain the marked attenuation in weight gain seen in FXa cleavageresistant PAR2-G37I mice as opposed to completely cleavage-resistant PAR2-R38E mice

Observable changes in binge eating frequency typically appear within 4-6 weeks as the brain chemistry adjusts
