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But even you make a distinction between naked or refined carbs and the high fiber carbs, like you just mentioned

Further study is needed to elucidate the risk relationship between GLP-1 RAs and CI, mechanisms for development of CI with GLP-1 RAs, and whether tirzepatide is associated with a higher risk of CI despite its similar gastrointestinal adverse effect profile when compared with other GLP-1 RAs

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If it doesnt, see your GP about testing your blood sugar or hormone levels