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Who should check with a provider first If you are pregnant, nursing, have kidney disease, or take medications that interact with B12 metabolism (such as metformin), discuss this with a provider before starting

With tirzepatide, additional barrier contraception may be needed after starting or increasing the dose, as it can reduce the absorption of oral contraceptives

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Many people struggle with basic tasks when their mind is overwhelmed, so practical support can remove pressure without forcing them to talk