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While these effects are primarily targeted at metabolic regulation and weight loss, they also have indirect impacts on the hormonal systems that control the menstrual cycle

REFERENCES British Menopause Society incretin therapies and HRT NICE tirzepatide guidance NHS England tirzepatide guidance MHRA GLP1 safety guidance Mayo Clinic report on hormone therapy and tirzepatide findings NICE tirzepatide guidance NHS England tirzepatide guidance MHRA GLP1 safety guidance Mayo Clinic report on hormone therapy and tirzepatide findings

They see the insulated bag, assume everything is fine, and never check whether the internal arrangement is actually protecting the medication