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Medication is not required for every patient and is only considered when appropriate, based on individual evaluation and provider recommendations

At CHWC, we combine safe, once-weekly Tirzepatide injections with personalized nutrition guidance, movement coaching, and one-on-one supportso you achieve healthy, sustainable weight loss while feeling fully supported

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We also discuss common side effects, long-term use, muscle preservation, and why lifestyle strategies like nutrition and strength training still matter

While some initial spotting can be an expected adjustment with HRT, any persistent or new bleeding beyond the first few months must be investigated, says Dr

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