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Gallbladder problems, including gallstones or gallbladder inflammation, have been reported with tirzepatide use

Side effects tend to go away the longer you are on tirzepatide but may flare up when you increase your dose

Where appropriate, this may include review by a Clinician to help rule out rare complications, dermatological reactions or unrelated causes

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If something looks off, do not use the vial

That is a common intermediate dose during the tirzepatide escalation protocol