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The side effects might be either due to high dose of vitamin B12 or allergic reaction to its composition

Quick Answer: Insomnia is not listed as a common side effect of tirzepatide in FDA prescribing information or major clinical trials, though some patients report sleep disturbances that may be indirectly related to gastrointestinal symptoms or metabolic changes

This can temporarily make the skin appear duller or slightly worse, as breakdown outpaces synthesis

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It is really effective and you start seeing the changes right away