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Most adverse effects reported with tirzepatide are gastrointestinal in nature, including nausea (12-22%), diarrhea (12-16%), and vomiting (4-9%), which are generally mild to moderate and decrease over time

Most likely due to the placebo effect there are a some reviews on how it worked for them, or maybe the sellers paid for the reviews

Yen, Head of the Laboratory of Hormonal Regulation at Duke-NUS' Cardiovascular & Metabolic Disorders Programme, and senior author of the study, said, "The potential for using vitamin B12 and folate, which have high safety profiles and are designated as dietary supplements by the US Food and Drug Administration, as first-line therapies for the prevention and treatment of NASH could result in tremendous cost savings and reduce the health burden from NASH in both developed and developing countries." Currently, the only treatment for patients with end-stage liver disease is to receive a transplant

B vitamins are a group of essential nutrients that play roles in many organs and bodily systems