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always swim with someone aware of your epilepsy in a supervised pool Activities at height (climbing, gymnastics on apparatus), where a seizure could cause a fall Cycling on busy roads

Two things can shift your thyroid needs during weight loss: Absorption variability (especially early on with dose increases) BNF Body weight changes (thyroid replacement dose requirements can change as weight changes) A practical approach many clinicians use is: Check TSH ( free T4) about 68 weeks after : starting tirzepatide, or a significant dose escalation, or a big, sustained drop in weight NICE also flags that because tirzepatide delays gastric emptying, some oral medicines (particularly those with a narrow therapeutic index) may need monitoring during escalation

It is also known as Mounjaro or Zepbound

Rapid weight loss without resistance training can lead to muscle loss

Plus as always, all its ingredients are lab tested for potency and purity