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Akiyoshi T, Ueda Y, Yanai K, Yamaguchi H, Kawamoto M, Toyoda K, Hayashi T, Ohuchida J

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While mild nausea is common, severe gastric paralysis is an outlier that requires immediate medical and legal attention

Other medicines warranting caution include: Oral contraceptives the tirzepatide SmPC (Mounjaro, MHRA/emc) notes a reduction in oral contraceptive exposure during initiation and dose escalation, and advises considering additional contraceptive precautions during this period

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