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For patients experiencing gastrointestinal events during concurrent metformin and tirzepatide therapy, management strategies include appropriate titration of immediate-release metformin, use of extended-release metformin and gut microbiome modulators, as well as alternative pharmacological therapies when metformin cannot be tolerated at all [73]

Yes, your prescriber may consider short-term anti-emetic medications such as metoclopramide (maximum 5 days), prochlorperazine, or ondansetron if nausea is severe

Companies without the coverage are unlikely to add it

Acute kidney injury secondary to dehydration is a documented serious adverse event with these medications

The surgery does not introduce any harmful substances into the milk