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Starting too aggressive can cause: Different GI effects than you're used to Unexpected energy fluctuations Appetite changes that don't match your tirzepatide experience Give yourself one week at your starting dose to see how the glucagon piece hits you specifically

Always consult with a healthcare provider before starting any new medication or treatment
Penn Medical Group is available to help guide you on your semaglutide medical weight loss journey.

Note energy levels, sleep quality, and mood changes
