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Tirzepatide (Mounjaro/Zepbound) is a dual GLP-1/GIP agonist that produces weight loss results between semaglutide and retatrutide, with approximately 20-22% average weight loss at the 15 mg dose

Still, the anti-inflammatory potential seen in other conditions provides a basis for optimism, even if more evidence is needed

However, as the keto diet involves a shift in typical eating habits and the body switching to a different energy source, it might lead to some Short-term side effects Following the keto diet could result in short-term side effects, including: keto-flu, a short-term group of symptoms that resemble those of flu noticeable changes in bowel habits, such as constipation or diarrhea uncomfortable leg cramps a noticeable loss of energy nausea mental fogginess lightheadedness frequent urination headaches insomnia In most instances, the side effects are temporary, lasting a few days to a few weeks

If levels are trending downward despite B12-containing semaglutide, additional supplementation may be needed

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