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While both can support weight loss, they work in different ways
Metabolic acidosis (too much acid and low serum bicarbonate levels) Kidney stones, osteomalacia, and osteoporosis Birth defects during pregnancy Decreased kidney function Allergic reactions (skin reactions and breathing problems) Note that phentermine and topiramate can cause unexpected changes in your mental health, including suicidal thinking and behaviors, within a week of starting treatment
But that base number does not tell the whole story, because dose escalation changes the math significantly over a six-month or twelve-month treatment window
Introduction TRIUMPH-4 results made headlines for 28.7% weight loss
What about effects on menstrual cycles
If you're considering taking your tirzepatide dose a day early, it's important to understand how timing affects the medication's effectiveness and your body's response to treatment
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