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Long-term side effects are more likely if you stay on high doses or dont monitor your hormone levels over time
Tirzepatide titrates from 2.5 mg up through 5, 7.5, 10, 12.5, and 15 mg, so the windows can stack while youre still escalating, meaning you might need to change to not the birth control pill (instead use the birth control ring, IUD, implant or condoms) for 6 months while you ramp up your Mounjaro/Zepbound/tirzepatide
By reducing the amount of glucose in the bloodstream, metformin also reduces the amount of insulin released by the pancreas
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