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Beyond appetite, tirzepatide improves insulin sensitivity

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While menstrual irregularities were not systematically reported as adverse events in published results, the substantial weight loss achieved (approximately 20.9% with the 15 mg dose) would be expected to influence reproductive hormone dynamics in premenopausal women based on established weight loss physiology

This represents telogen effluvium triggered by rapid weight loss and potential nutritional deficiencies, not a direct drug effect

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