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Pang Z, et al
Written consent for publication Not applicable, the manuscript does not contain any individual personal data
& Bhatia, M
Tirzepatide titrates from 2.5 mg up through 5, 7.5, 10, 12.5, and 15 mg, so the windows can stack while youre still escalating, meaning you might need to change to not the birth control pill (instead use the birth control ring, IUD, implant or condoms) for 6 months while you ramp up your Mounjaro/Zepbound/tirzepatide
This practice shifted when the agency first declared that the tirzepatide shortage was over, followed soon by a similar announcement signalling the end of the semaglutide shortage in February 2025
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