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How cortisol disrupts testosterone, thyroid, growth hormone, and insulin and what to do
When you dramatically reduce caloric intake, which tirzepatide naturally causes, B12 demand can increase while dietary intake decreases

The jump from 5 mg to 7.5 mg is a 50% increase, often producing noticeable side effect increases
Focus on hydration and protein first

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This gradual titration improves gastrointestinal tolerability
