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2, Table S4)

Common, usually mild side effects include: Nausea or bloating Constipation or diarrhea Headache or dizziness Temporary fatigue L-Carnitine may help reduce fatigue and boost metabolic energy, making side effects easier to manage

Patients should specifically inform their doctor about diabetes medications (insulin, sulfonylureas, meglitinides), thyroid medications, anticoagulants, oral contraceptives, and any medications requiring precise timing or absorption

Every Tirzepatide lot is supplied with certificate-of-analysis documentation available on request, and the COA image for the current lot is linked in the Documentation Status section on this page