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Sleep quality and duration : Poor sleep disrupts hunger hormones, increasing ghrelin (hunger hormone) and decreasing leptin (satiety hormone), which can override tirzepatide's appetite-suppressing effects

If too much time has passed, skip and resume on your next scheduled day

If youd like follow-up without returning to a clinic, Tonums Nutrition Services offers telehealth follow-ups and practical guidance

Digestion is slowed

Peptides 101: Why Theyre More Than Just Weight-Loss Tools Peptides are short chains of amino acids that act as messengers in the body, helping regulate processes like metabolism, recovery, and energy production