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If a breastfeeding infant experiences an adverse effect related to a maternally ingested drug, healthcare providers are encouraged to report the adverse effect to the FDA

Mem Inst Oswaldo Cruz 101: 341344

It is important to stay within the guidelines for low consumption of alcohol to reduce negative effects on B12 absorption and liver function

The amount in compounded tirzepatide (typically 0.5-1mg weekly) is well above the RDA but may not fully compensate for absorption issues and increased demands during rapid weight loss
Ng FM, Sun J, Sharma L, Libinaka R, Jiang WJ, Gianello R
