gas and tirzepatide with In a 36-year-old patient taking low-dose (Zepbound) who has abdominal distension without evidence of bowel obstruction, what tirzepatide cause gas Possible mechanism

1,3501,500 calories) Breakfast Protein smoothie 1 scoop protein powder (2025g protein) cup unsweetened almond milk banana 1 cup spinach 1 tbsp peanut butter or almond butter Handful of ice ~350400 calories Lunch Tuna salad in a whole-grain pita 3 oz canned tuna (in water), mixed with 1 tbsp light mayo or Greek yogurt Stuffed into 1 small whole-grain pita Add shredded lettuce, tomato slices, and a squeeze of lemon ~350400 calories Snack Celery sticks with hummus 56 celery sticks 2 tbsp hummus ~100150 calories Dinner Turkey meatballs with zucchini noodles and marinara 3 small turkey meatballs (made with lean ground turkey) 1 cups spiralized zucchini, lightly sauted cup low-sugar marinara sauce Optional: sprinkle of parmesan or nutritional yeast ~450500 calories Day 5 (Approx

Injection site reactions (redness, slight swelling)

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Men who cannot tolerate GLP-1 side effects may find cagrilintide more manageable given its lower odds of nausea and vomiting