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Ideal candidates include adults with: BMI ≥ 30 (obesity) BMI ≥ 27 with weight-related conditions (type 2 diabetes, hypertension, high cholesterol, sleep apnea, PCOS) Inability to lose weight through diet and exercise alone Contraindications include: Personal or family history of medullary thyroid carcinoma Multiple endocrine neoplasia syndrome type 2 (MEN 2) History of pancreatitis (caution advised) Your online doctor will evaluate all risks and benefits before prescribing

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Genetic variants affecting your digestive enzyme activity, stomach motility regulation, and medication-processing pathways can all influence how severely tirzepatide delays gastric emptying and how vulnerable you are to antibiotic absorption changes