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Document vital signs if obtainable (home blood pressure readings), review relevant labs, assess for contraindications

Please, pay attention to important status update in 2026 The FDA ended enforcement discretion for compounding tirzepatide in March 2025

These medications slow gastric emptying to promote satiety and support weight loss or diabetes management, but this mechanism can cause uncomfortable abdominal distension and gas

14 When sitagliptin and metformin are administered in combination, the most common adverse effects reported in 5% of patients or more include diarrhea, upper respiratory infection, and headache