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report palpitations or persistent tachycardia [1] [11] Additional monitoring considerations: If you have diabetic retinopathy, follow appropriate ophthalmology care as recommended by the ADA If using tirzepatide for weight management, use non-oral contraception or backup contraceptive methods for 4 weeks after initiation and after each dose increase Contact your healthcare provider immediately if pregnancy occurs or is planned, as tirzepatide for weight management is not recommended during pregnancy Clinical follow-up schedule: Expect appointments at 4 weeks (first dose escalation), 812 weeks (metabolic assessment), and then every 3 months during the first year

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