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Common side effects (10% or more of patients) Nausea Diarrhea Constipation Vomiting Reduced appetite (intended effect, but may feel uncomfortable initially) Stomach pain or discomfort Indigestion or acid reflux Fatigue Mild injection site reactions Serious side effects (rare but require immediate medical attention) Pancreatitis: severe, persistent abdominal pain that may radiate to the back, often with nausea or vomiting Gallbladder problems: upper right abdominal pain, fever, jaundice, or unusual stool color Severe allergic reactions: rash, swelling of the face or throat, difficulty breathing Kidney issues: often related to dehydration from prolonged vomiting or diarrhea Diabetic retinopathy complications in patients with pre-existing diabetic eye disease Severe hypoglycemia in patients also taking insulin or sulfonylureas Boxed warning: Tirzepatide caused thyroid C-cell tumors in animal studies

Efficacy and safety of tocilizumab in Behets syndrome with refractory arterial lesions: a single-centre observational cohort study in China

PMID 28400207)Tier 1 primary [3]FDA approval letter for Egrifta (tesamorelin, NDA 022505, 2010)Tier 1 primary [4]Stanley TL et al

Rybelsus oral tablets are available in two formulations