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If the shortage has resolved, those doses of compounded tirzepatide may not be available through PlushCare but there may be other medications that can help you lose weight, depending on your needs

Ozempic and diverticulitis When digestion slows down, constipation can occur

Gut check on diabesity: leveraging gut mechanisms for the treatment of type 2 diabetes and obesity

If you have Kaiser and want Zepbound, your best self-pay options are: LillyDirect at $299-449/month, TrumpRx.gov at ~$346/month (launched Feb 2026), or Foundayo (oral GLP-1, ~$149/month, approved April 2026)

The alcohol and semaglutide interaction is also relevant here, since alcohol use affects liver enzymes independently and adds a layer of complexity to interpreting ALT and AST changes