tirzepatide 3 months Before and after photos from #tirzepatide #zepbound, • in, • 20 lbs. down, • zero regrets 🩷 Melanie lost 30 lbs. in

doi: 10.1210/clinem/dgad463 17 AzzizRMarinCHoqLBadamgaravESongP

For best results: Take NAD+ supplements in the morning, preferably with or after breakfast for optimal absorption and energy support throughout the day Start with the lowest recommended dose and increase gradually Consistency is key

Seek immediate medical attention if you experience: Severe abdominal pain (possible pancreatitis) Persistent nausea and vomiting Signs of gallbladder disease (right upper quadrant pain, jaundice) Significantly elevated blood glucose levels (if diabetic) Symptoms of depression or suicidal ideation Successful discontinuation of Zepbound requires realistic expectations, comprehensive lifestyle support, and ongoing medical supervision to optimize long-term health outcomes

Possible reasons include blood sugar changes, dehydration, and electrolyte imbalances

Venegas-Borsellino C et al (2021) Impact of COVID-19 on the Intestinal Microbiome