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Everything else can be refined later
Its generally not necessary to use a backup method solely because of tirzepatide
Given the firms documented history of sterility failures where patients were not notified, the FDAs concern here seems to be well-founded
Many people want weight loss without feeling drained, weak or under-fuelled, but when appetite drops its easy to miss out on protein, fluids and essential nutrients
The more cautious interpretation is that patients who receive GLP-1 receptor agonists may differ in important but incompletely measured ways from those treated with insulin or metformin, including overall health, treatment access, healthcare follow-up, or cardiometabolic care intensity