Never take two doses within three days (72 hours) of each other, as this may increase the risk of adverse effects, particularly gastrointestinal side effects
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For most individuals on thyroid hormone replacement prior to pregnancy, the American Thyroid Association (ATA) and ACOG recommend TSH be within the trimester-specific reference range for pregnancy at a particular lab, or if not provided, preconception and first trimester TSH 200 mg/dL, with unexplained weight loss or who is unable to keep down food or fluids should check urine ketones at home
Whether in vials, syringes, or injection pens, tirzepatide injections are highly sensitive to temperature changes
People have scrambled to make dostretching out doses, turning to older obesity medications, and finding off-brand dupes of the drugs