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Of these isomers, the most studied and bioavailable isomers are cis -9, trans -11 (abbreviated c9,t11) CLA (80%-90% of the total CLA isomers) and trans -10, cis -12 (abbreviated t10,c12) CLA (3%-5% of the total CLA isomers) within the naturally occurring forms
Many patients notice appetite changes within the first 1 to 2 weeks of starting tirzepatide, since the medication begins working from the first dose
[48] Eyes Up to one-third of patients report that their eyes are affected
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For general thyroid imbalance caused by weight loss or absorption changes, you might experience palpitations, anxiety, or insomnia (if your thyroid dose is now too high) or persistent fatigue, feeling cold, and brain fog (if your thyroid function is low)
Oral forms may occasionally cause mild digestive issues, such as bloating or stomach discomfort
