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Lindsay Fowler Dragos, MD

extreme caloric restriction may exacerbate menstrual irregularities Micronutrient optimization: Maintain adequate iron intake, particularly if experiencing heavier menstrual bleeding Contraceptive considerations: Discuss alternative contraceptive methods with your provider, as tirzepatide may affect oral contraceptive absorption For women with pre-existing menstrual irregularities or PCOS, tirzepatide treatment may ultimately improve cycle regularity as metabolic parameters normalize

[73] [74] Lisdexamfetamine's therapeutic effects for BED primarily involve direct action in the central nervous system after conversion to its pharmacologically active metabolite, dextroamphetamine

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J Natl Cancer Inst 81, 175354

If you have optimized every aspect of technique, escalated to the highest recommended sublingual dose, and still see inadequate results after 8-12 weeks, the delivery method may be the limiting factor