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Theres a bigger issue that shows up in their lab work

If you have any history of kidney disease, diabetes complications affecting renal function, or elevated baseline creatinine, discuss creatine use with your healthcare provider before starting

Severe side effects that warrant contacting a healthcare provider include: Severe abdominal pain : This could be a sign of pancreatitis or gallbladder issues, which require immediate evaluation

Breaking plateaus requires resistance training to protect metabolism, increased daily movement, higher protein intake, and sometimes switching to tirzepatide which targets dual GIP/GLP-1 pathways