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The key difference is that tirzepatide generally produces more weight loss, more quickly, which means the adjustment period may be more pronounced but the long-term sleep benefits (from greater weight loss and sleep apnea improvement) may also be greater

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[1] [2] The MHRA and prescribing information provide comprehensive guidance on adverse effect profiles, though hot flushes are not listed among the established side effects in the official product literature

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Course I don't know what would have happened had I just waited, but it seemed eerily fast and then I stopped taking it