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So heres the question: Does tirzepatide make you tired, or is it something else causing it

Copper-induced oxidative stress also promotes inflammation through ROS production, resulting in lipid, protein and DNA damage (70)

Haahtela T, Holgate S, Pawankar R, Akdis CA, Benjaponpitak S, Caraballo L, Demain J, Portnoy J, von Hertzen L, WAO Special Committee on Climate Change and Biodiversity

Spine 23 (1), 18
