The likely mechanism involves GLP-1-mediated changes to gut-derived hormonal signals affecting bone remodeling, compounded by the fact that significant weight loss removes a key mechanical stimulus that keeps bone dense and strong
Additionally, the gastrointestinal side effects of tirzepatide (nausea, vomiting, diarrhea) can cause volume depletion leading to low blood pressure, especially in patients taking diuretics or other antihypertensive medications
(2022) NHS [accessed 15 January 2026] Tirzepatide for managing overweight and obesity
Peak severity: First 4 weeks of treatment
Blood (25 L) was collected from the saphenous vein using minicaps Na-hep Micro Capillary Pipettes (Hirschmann Laborgerte) for up to 12 days
It can improve blood sugar control for people with diabetes, and it has been shown to help with weight loss in those who struggle to lose weight through diet and exercise