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The most common adverse effects include gastrointestinal disturbances nausea (reported in up to 20% of patients), vomiting, diarrhoea, constipation, and abdominal painwhich can significantly impair training capacity, nutrient absorption, and overall performance
Patients should be aware that purchasing tirzepatide from online sources, international pharmacies not licensed in the United States, or suppliers offering "research grade" or powder forms carries significant risks
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