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(1) Tesamorelin has been studied for its potential mechanism of action, posited to be similar to growth hormone-releasing hormones (GHRH) receptors located at the anterior pituitary gland, possibly leading to increased production and secretion of growth hormones

If you are taking oral contraceptives, you should use additional barrier contraception for 4 weeks after starting tirzepatide and for 4 weeks after each dose increase

References Camanni, F., Ghigo, E., & Arvat, E