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Ask about what maintenance dose makes sense for you, whether stepping down is realistic, and what your plan should look like over next year

Early rapid weight loss (weeks 112) typically slows as your body adapts to medication and achieves caloric balance

Top soluble fiber sources: Oats : 4g fiber per cup (cooked), the gold standard for gentle, effective fiber Chia seeds : 10g fiber per ounce, soak in liquid to form a gel that moves through the digestive tract smoothly Ground flaxseeds : 3g fiber per tablespoon, add to yogurt or smoothies Avocado : 10g fiber per avocado, plus healthy fats that aid absorption of fat-soluble vitamins Sweet potatoes : 4g fiber per medium potato, gentle and easy to digest when baked Berries : 3-4g fiber per cup, low glycemic, packed with antioxidants Beans and lentils : 6-8g fiber per half cup, introduce gradually Specific foods with natural laxative properties: Kiwi fruit : 1-2 daily has been shown in clinical studies to improve constipation, contains actinidin enzyme that aids digestion Prunes : 3-4 daily, contain sorbitol which draws water into the intestines Pears : High in sorbitol and fiber, gentle on the stomach One study-backed tip that many people on tirzepatide find helpful: start each morning with a glass of warm water followed by two kiwi fruits

Injecting a needle through a wet alcohol surface can sting and potentially introduce alcohol into the medication