Clinical data demonstrates that gastrointestinal side effects follow a predictable pattern of being most prominent during treatment initiation and dose escalation periods, then declining substantially as the body adapts
However, severe deficiency (scurvy) is rare
An analysis of the FDA Adverse Event Reporting System (collecting worldwide adverse events) identified an increased reporting odds ratio for alopecia with semaglutide and tirzepatide, while no significant increase was observed for liraglutide, dulaglutide, exenatide, or lixisenatide [81]
Vitamin B12 deficiency causes pernicious anemia and disorders of the nervous system
Electrolyte solutions can enhance hydration more effectively than water alone, particularly if sodium and potassium stores are depleted
Eat five to six small meals throughout the day instead of three large ones, keeping each meal to approximately 200300 calories