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The reason is how Epithalon is designed to work

An ILAE position paper
Meal Structure and Timing Five to six smaller meals spread throughout the day work better than three large meals during Retatrutide treatment
By binding its receptor, GIP increases post-meal insulin and promotes fat storage

Long-term complications are rare in mild-to-moderate overdoses, but severe cases involving prolonged hypoglycemia or kidney stress may cause lasting effects

Concomitant medications and therapies also play a role