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extreme caloric restriction may exacerbate menstrual irregularities Micronutrient optimization: Maintain adequate iron intake, particularly if experiencing heavier menstrual bleeding Contraceptive considerations: Discuss alternative contraceptive methods with your provider, as tirzepatide may affect oral contraceptive absorption For women with pre-existing menstrual irregularities or PCOS, tirzepatide treatment may ultimately improve cycle regularity as metabolic parameters normalize

doi:10.1080/09638288.2017.1362708

Subcutaneous B12 Injection Procedure Subcutaneous B12 injections are an alternative to intramuscular shots and may be a less painful method for some patients, although they are less common