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Most patients tolerate treatment very well, but some may experience nausea, constipation, bloating, or fatigue during the first few weeks

Lilly makes a similar allegation against Fella Health, accusing the company of making "sweeping corporate decisions that dictate patient care, such as when Fella changed patients en masse from one tirzepatide formulation to another with additives." In all four cases, Lilly is seeking to stop the sites from marketing or selling tirzepatide
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However, those monthly fees pay for something that copays cannot, and thats recurrent access to a medical professional throughout treatment

Tirzepatide should not replace or delay access to these established interventions

10.1016/j.bbrc.2005.01.139 339
