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If youre sexually active and dont want to be pregnant, use a reliable birth control method while on GLP1s and tell your doctor who is prescribing or providing your birth control that you are on a GLP-1
While oral contraceptives do not cause significant weight gain for all women, some do report gaining weight while using them
Real-Life Application at Health Express Clinics At our Lewisville location, we have developed a structured weight loss protocol for patients eligible for Tirzepatide: Initial Evaluation Includes: BMI and waist circumference analysis Comprehensive lab panel (A1c, lipids, liver function, TSH) Screening for contraindications (pancreatitis, gallbladder disease, medullary thyroid carcinoma) Ongoing Monitoring Includes: Monthly follow-up appointments (in-person or virtual) Titration of Tirzepatide dosage based on tolerance Nutrition and physical activity coaching GI side effect management (if needed) Common Clinical Scenarios: A 52-year-old woman with PCOS and insulin resistance A 45-year-old male with NAFLD and borderline diabetes A patient who plateaued on semaglutide and transitioned to Tirzepatide for greater effect When patients transition from semaglutide to Tirzepatide, we often see a second wave of weight loss
Match the complexity level to what you will actually maintain consistently
Move your tirzepatide to the middle shelf
This seems counterintuitive since tirzepatide activates an additional receptor, but the GIP component appears to have a moderating effect on GLP-1 induced nausea
