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For tirzepatide (Zepbound) Jastreboff and colleagues reported in the New England Journal of Medicine in 2022 that at maximal doses, the percent of individuals reporting side effects were as follows: Nausea 31.0% Diarrhea 23.0% Vomiting 12.2% Constipation 11.7% Bettge and colleagues conducted a study published in Diabetes, Obesity, and Metabolism in 2017 that showed that individuals who were taking metformin while taking a GLP-1 were more likely to have side effects, especially nausea and vomiting

Not necessarily all of it, but most patients regain a significant portion without lifestyle changes and ongoing monitoring

Rapid weight loss and biomechanical changes: Patients achieving significant weight reduction may experience temporary musculoskeletal adjustment