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Dehydration from nausea and vomiting, electrolyte imbalances from reduced food intake, the physiological stress of rapid weight changes, interactions with caffeine, anxiety about taking a new medication, these are all factors that do not cleanly show up in trial adverse event tables but absolutely contribute to real-world palpitation experiences

I searched Brellos website, and they dont mention anywhere which pharmacy(s) they are using, which may or may not be a red flag, but I personally like to know which pharmacies are being used so I can do further research

doi: 10.1515/bmc-2019-0022 167

This connection is not always obvious but is critically important for researchers trying to optimize their tirzepatide dosing protocols