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If you are taking birth control pills intending to prevent pregnancy, please discuss contraception with your healthcare provider before beginning GLP-1 medications

Sergey Terushkin, MD, FACS Key Takeaways: The 30-Second Summary Availability: Tirzepatide is FDA-approved and available at our clinic today

2mg weekly: the foundation (weeks 1-4) The 2mg starting dose has minimal appetite-suppressing activity

Gradual estrogen decline: As ovarian reserve decreases, estrogen trends lower overall (though it can still spike unpredictably earlier in perimenopause)

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