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[1] [2] Unlike phentermine's central nervous system stimulation, tirzepatide works through multiple mechanisms: it enhances insulin secretion in a glucose-dependent manner, suppresses glucagon release, slows gastric emptying, and reduces appetite through central pathways

Mild nausea is expected and manageable

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PRECAUTIONS: Before using cyanocobalamin, tell your doctor or pharmacist if you are allergic to it

With reduced glucose levels prompting increased urination, individuals may inadvertently lose significant fluid volume, heightening the risk of dehydration