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Without deliberate effort to preserve muscle, the resulting body composition after major weight loss can be disappointing despite excellent scale results

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After starting and after each dose increase, tirzepatide can cut the peak absorption of an oral contraceptive by more than half, so the label guidance is a non-oral method or added barrier protection for four weeks after starting and four weeks after each increase. It is a first-dose-and-escalation effect, not a permanent block on all oral drugs

The frequency varies based on individual goals and needs

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