They have similar side effects
In Spanish female healthcare workers was found an association between rotating NS and increased estradiol, as well as progesterone, modulated by menstrual phase, whereas in Greek hospital NS workers elevated progesterone and androgens, but not estrogen, were confirmed 256,257
Lancet (2021) 397(10278):97184
GIP (glucose-dependent insulinotropic polypeptide) was once considered primarily an incretin hormone, but research has revealed its broader metabolic role
In that case, they may wonder if mixing options is smarter
Both are injectable, once-weekly dosing, though compounded tirzepatide offers greater pricing transparency and flexibility in dose escalation without cost increases