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Symptoms that mean sleep disruption, symptoms that mean something else Sleep disruption from tirzepatide (typical, manageable): Waking 1-3 times per night during the first 8 weeks of treatment Waking with mild nausea, reflux, or sense of fullness Able to fall back asleep within 20-30 minutes No symptoms during the day Gradual improvement over 2-4 weeks Symptoms that suggest a different problem: Inability to fall asleep initially (not just waking during the night)
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