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However, the peptide nature of tirzepatide creates substantial challenges for oral delivery, including degradation in the gastrointestinal tract and poor absorption across intestinal barriers

10.1002/fsn3.1006 29 LiuJ.HuY.ZhangH.XuY.WangG

Youre on medication with HCG in it

Patients with pre-existing cardiac arrhythmias or significant cardiovascular disease should be monitored appropriately when initiating GLP-1 therapy, though these conditions are not absolute contraindications

Either adopt the new day going forward or wait 8-10 days until your original day comes around again (ensuring at least 48 hours between any two doses)