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Your fatigue , brain fog, and constant cold hands are not "side effects of the medication." They are signs you are not eating enough

Other high-dose warning signs include: Severe abdominal pain or cramping that goes beyond mild discomfort Dizziness or lightheadedness, especially when standing Excessive fatigue beyond what is normal during dose adjustments, which is distinct from the manageable fatigue that some people experience Signs of dehydration: dark urine, dry mouth, decreased urination, headache Hypoglycemia symptoms: shakiness, cold sweats, confusion, rapid heartbeat (especially concerning for individuals on diabetes medications) Severe sleep disruption that was not present at lower doses Complete inability to eat anything for more than 24 hours If you experience any combination of these symptoms after drawing 50 units, check your math immediately

Normal dietary amounts and multivitamin levels are fine

Administration Instruct patients how to prepare and administer the correct dose of ZEPBOUND and assess their ability to inject subcutaneously to ensure the proper administration of ZEPBOUND

Preparing for these social changes is as important as preparing for the physical ones

If you practice intermittent fasting, consider shortening your fasting window while on the medication