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All medications come from licensed 503A compounding pharmacies, and HSA/FSA accounts are eligible for payment

If avoiding needles is non-negotiable, drops or lozenges provide alternatives

First, a missed dose : the documented handling is to take it as soon as reasonably possible if several days remain before the next scheduled dose, otherwise skip it never double up to compensate, because two doses close together stacks the incretin effect and reliably provokes GI symptoms

Personalized Evaluation and Safety Considerations Before starting tirzepatide, the healthcare team at Centra Internal Medicine will conduct a thorough evaluation of your medical history, current medications, and overall health to ensure that this medication is safe and suitable for your specific needs

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