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Tirzepatide (branded as Zepbound for weight loss) is FDA-approved and available now

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Serious adverse effects requiring clinical vigilance include: Lactic acidosis : A rare but potentially fatal complication of metformin, particularly in patients with renal impairment (eGFR 10%), symptomatic hyperglycemia, diagnostic uncertainty, or recurrent hypoglycemia

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Recommended for anyone, all fertility patients (male and female)