If GI symptoms are still significant, the documented approach is to hold the current dose longer rather than escalate on schedule
Side effects what to expect The most common side effects are gastrointestinal and worst in the first 48 weeks (full breakdown in our side-effects guide): Nausea (around 40% of patients in week one usually settles) Constipation or diarrhoea Reflux / burping / "sulphur burps" Reduced appetite (the desired effect) Tiredness and dizziness especially if dehydrated Less common but more serious risks include pancreatitis, gallbladder disease, severe dehydration leading to acute kidney injury, and very rarely thyroid C-cell tumours (seen in rodents human relevance unclear, but the medicines are contraindicated in MEN2 and personal/family history of medullary thyroid cancer)
Sikora JP, Karawani J, Sobczak J
Diagnostics (Basel) 9
A Heally provider can: Conduct a full clinical evaluation to determine whether Zepbound or Mounjaro is appropriate for you Submit prior authorization requests and assist with insurance navigation Guide you through Lillys savings programs, LillyDirect, and financial assistance options Monitor your treatment, manage side effects, and adjust dosing as needed Coordinate with a registered compounding pharmacy in rare cases where a documented medical exception applies Provide ongoing support including lab monitoring, nutrition guidance, and lifestyle coaching Heally currently provides telehealth services in 40+ U.S
Tirzepatide for the Treatment of Obstructive Sleep Apnea and Obesity
