2019;62(Suppl 1):S363 [Abstract 753]
No Australian cases have been linked to dulaglutide, sold as Trulicity
It is important for people at risk to move their bodies when they can and focus on healthy habits to help with blood flow and weight loss

Seek immediate medical attention if you experience: Severe abdominal pain that is persistent, worsening, or accompanied by fever Obstipation (complete inability to pass stool or gas) with progressive abdominal distension Rectal bleeding or black, tarry stools, which may indicate gastrointestinal bleeding Persistent nausea and vomiting that prevents adequate fluid intake, risking dehydration Signs of bowel obstruction including severe cramping, visible abdominal swelling, and complete cessation of bowel movements Schedule a routine appointment if: Constipation persists despite conservative management measures for more than two weeks You require regular use of stimulant laxatives to maintain bowel function Constipation significantly impacts your quality of life or medication adherence You experience new or worsening hemorrhoids related to straining You have questions about adjusting your tirzepatide dose due to gastrointestinal side effects Your healthcare provider can assess whether dose adjustment, temporary treatment interruption, or alternative management strategies are appropriate

Comparing to next-generation alternatives The GLP-1 agonist field is evolving rapidly
OB/GYN Board-certified OB/GYN with 40+ years of experience in women's hormonal health and weight management