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Your healthcare team can perform appropriate investigations, including hemoglobin A1c testing, thyroid function studies, or medication reviews, to identify and address the underlying cause of unexpected appetite changes while optimizing your tirzepatide therapy for maximum benefit and safety

You can absolutely use berberine and inositol together

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Most troubling for individuals with diabetes, the erratic changes in blood sugar caused by gastroparesis can make diabetes worse, creating a feedback loop that worsens the gastroparesis