Tirzepatide can cause modest increases in heart rate and some patients may experience palpitations, which can be perceived as chest discomfort
Finally, although higher circulating levels of lipase and amylase were reported in patients on GLP-1 RA therapy in many trials, the increases were rarely higher than three or five-fold the upper limit of normal (ULN), respectively [9,10,11,12,13,14,15,16,17], returned to normal levels after medication withdrawn, and were poor predictors of AP [54]
Will switching to a different GLP-1 help
Endotoxins and non-alcoholic fatty liver disease
A recent study poses this modified version (3) of the Harvard Healthy Eating Plate as a guide for GLP-1 diets that may help get you started (10): Your diet should be sustainable, which may mean that you shouldnt be overly strict with yourself