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"Lilly's Humatrope Experience"

Tirzepatide crosses the placenta and may appear in breast milk

Additional reasons to seek medical advice: Symptoms suggesting pregnancy (nausea beyond typical tirzepatide side effects, breast tenderness, fatigue) Signs of infection (fever, unusual vaginal discharge, pelvic pain) Significant mood changes or depression related to menstrual irregularities Concerns about fertility or family planning while taking tirzepatide Proactive communication with your healthcare team ensures that menstrual changes are appropriately evaluated and managed, optimizing both the metabolic benefits of tirzepatide treatment and your overall reproductive health

Further, NASO B12 was well-tolerated throughout the treatment period.[] Patients on metformin therapy receiving NASO B12 should also be instructed that they will require weekly intranasal administration of NASO B12 spray in each nostril after correction of vitamin B12 deficiency for the remainder of their lives

Theres no PK study establishing a sub q dosing equivalent, which means anyone converting an oral dose to a sub q one is guessing at the math