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Conversely, many celiac patients gain excessive weight after starting a gluten-free diet due to improved absorption and the higher caloric density of many gluten-free products, making tirzepatide potentially beneficial for weight management in this subset, provided they meet the BMI criteria (30 kg/m or 27 kg/m with a weight-related comorbidity)

AND the science is evolving faster than regulatory guidance

Increased gastrointestinal effects Tirzepatide works partly by slowing gastric emptying, the rate at which food moves from your stomach into your small intestine

Serious side effects like severe abdominal pain, vomiting, or signs of pancreatitis require immediate medical attention and should not be ignored

"Enough also means many other things