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Published meta-analyses and systematic reviews indicate that both oral and injectable GLP-1 RAs delay gastric emptying, but the magnitude of this effect is similar across formulations when matched for agent and dosing schedule

You have never had your bone status checked You are in one of these higherrisk groups and have never had a DEXA scan or a real conversation about bone risk You plan to start or stay on tirzepatide for the long haul without any baseline bone data to compare against If you see yourself in several of these buckets, you need a bonefirst plan on tirzepatide: baseline DEXA, targeted labs, and a clear musclepreserving strategy baked into your protocol from day one

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If hair loss is a particular concern, a prescribing clinician may consider whether an alternative medication class is appropriate for the patient's underlying condition, though this decision must always be guided by clinical need and individual riskbenefit assessment

I am more conscious about what I choose to eat, and I dont have cravings for processed foods