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As a physician, Ive seen a growing need for a more personalized, gentler approach: microdosing

Fasting while on tirzepatide carries slightly different considerations than fasting without the medication, mainly because your appetite suppression may mask early signs of insufficient calorie or nutrient intake

Diarrhoea and constipation are both classified as common side effects, affecting between 1 in 100 to 1 in 10 patients

For lupus patients already dealing with corticosteroid-induced muscle wasting, losing additional muscle mass is particularly problematic

Some patients taking GLP-1 receptor agonists have reported mood alterations, though this is less common

Many patients explore compounded options that may include added B12 or glycine (always with physician oversight for safety and quality)