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That unpleasant smell is a digestive response to the way tirzepatide works in the body, and while its not harmful, it can be persistent

Oral Contraceptives Tirzepatide is not anticipated to decrease the effectiveness of oral contraceptives as tirzepatide did not change the overall exposure of ethinylestradiol and levonorgestrel to a clinically relevant degree when an oral contraceptive combination medicinal product (0.03 mg ethinylestradiol/0.15 mg levonorgestrel) was co-administered with tirzepatide

Talk to your healthcare provider if you feel your heart racing or pounding