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Additionally, the following conditions may warrant careful consideration based on clinical judgment, though evidence specifically linking these conditions to increased risk with tirzepatide is limited: History of significant gastrointestinal motility disorders that could be exacerbated by further slowing of gastric emptying Inflammatory bowel disease with active inflammation or history of stricturing complications Recent abdominal surgery , particularly procedures involving the gastrointestinal tract Severe chronic constipation that is difficult to manage Regarding pancreatitis, the FDA label advises clinicians to consider alternative antidiabetic therapy in patients with a history of pancreatitis, as GLP-1 receptor agonists have been associated with acute pancreatitis in some cases

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Data availability Details of the search strategy and list of identified articles can be found at Footnotes This article is being simultaneously published in Diabetologia (10.1007/s00125-022-05787-2) and Diabetes Care (10.2337/dci22-0034) by the European Association for the Study of Diabetes and American Diabetes Association

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The drugs also show promise for treating liver disease and Alzheimers disease

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