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Any operation selling tirzepatide without a valid prescription is operating illegally and should be avoided entirely

For maximum effect regardless of side effect tolerance, 12mg produces the highest absolute weight loss and liver fat clearance

Regarding safety, the side effect profile was consistent with other GLP-1 receptor agonists, primarily mild to moderate gastrointestinal symptoms (nausea, vomiting, diarrhea) most of these symptoms were seen during the early dose titration period and settled down over a period of time

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That would put you at risk of undereating, which can result in nutrient deficiencies and muscle loss