Gastrointestinal: Dyspepsia, constipation, anorexia, enteritis, flatulence, gastritis, jaundice, loose stools and oral moniliasis
Less severe but still problematic gastrointestinal reactions warrant dose holds and systematic side effect management
Mounjaros effect on blood sugar levels and body weight makes it a valuable treatment option
The logic is that full therapeutic doses cause appetite suppression so dramatic that maintaining the caloric intake needed for training becomes nearly impossible
Before starting tirzepatide: Complete blood count (CBC), comprehensive metabolic panel (CMP), vitamin D (25-hydroxyvitamin D), vitamin B12, complete iron panel (serum iron, ferritin, TIBC, transferrin saturation), magnesium (RBC magnesium is more accurate than serum magnesium), thyroid panel (TSH, free T3, free T4), lipid panel, HbA1c At three-month intervals: CBC, CMP, vitamin D, B12, and any previously deficient markers