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Common side effects for women Water retention: More common in women Especially with GH peptides Usually temporary (first 2-4 weeks) Reduce salt intake, stay hydrated Fatigue (initial): First 1-2 weeks on GH peptides Body adjusting Improves quickly Lower dose if persistent Nausea (GLP-1s): Common with semaglutide/tirzepatide Women may be more sensitive Ginger helps Slow titration critical Headaches: Possible with any peptide Usually mild Hydration important Lower dose if frequent Hot flash interactions Do peptides affect hot flashes