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Most clinical trial data shows minimal impact on thyroid-stimulating hormone (TSH) levels or free thyroxine (T4) in patients with stable thyroid disease

Slowly pull the plunger back until the liquid reaches the correct line for your prescribed dose

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[1] The Summary of Product Characteristics also states that reduced food intake with tirzepatide contributes to body-weight loss and that tirzepatide delays gastric emptying, although this delay diminishes over time