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Bowel obstruction Small increases in resting heart rate Thyroid C-cell tumors observed in animal studies Dizziness or lightheadedness Dry mouth or increased thirst Vision changes Dehydration related to excessive vomiting or diarrhea Temporary hair shedding during rapid weight reduction Severe allergic reactions, including swelling of the face or throat or difficulty breathing, require immediate medical attention

[1] Women using oral contraceptives should use a backup method for 4 weeks after tirzepatide initiation and each dose increase due to potential reduced contraceptive effectiveness

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They can help guide you on how to adjust your treatment plan if you miss a dose