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Timing is critical: cramping that begins within days of starting therapy may reflect acute metabolic adjustment, while cramping that emerges weeks later might indicate cumulative electrolyte loss, reduced hydration, or inadequate nutrient intake during weight loss

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Most of these side effects might start the moment the supplement is taken, but over time, they lessen

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Tirzepatide may produce slightly faster initial results at equivalent time points

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Leifer et al., 2022)

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