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JAMA 309 , 13881396 (2013)

There is no established link between tirzepatide and vaginal spotting or abnormal uterine bleeding in the FDA-approved prescribing information or published clinical trial data

These effects are often most prominent during dose escalation and may improve with slower titration or continued therapy

One reviewer described the medical staff as "informative and pleasant," noting that the entire process from quiz to medication delivery took less than 10 days