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Not telling people with your struggle what you did is unfair." As The Cut pointed out, public scrutiny and speculation over Michelle Obama's figure is nothing new
Not just tirzepatide
In the TODAY study, there was only one case of lactic acidosis that was deemed unrelated to metformin use (27)

Do benefits outweigh risks in your case

In some cases, physicians use creative workarounds: e.g

A review of sarcopenia pathophysiology, diagnosis, treatment and future direction