tirzepatide surpass-4 trial: slows rate of eGFR decline and reduces UACR in T2DM patients Abstract 16779: Tirzepatide Reduces High-Sensitivity
Description
The ladder is the same for Mounjaro and Zepbound

Women using oral contraceptives should use a backup method for 4 weeks after initiating tirzepatide and after each dose increase due to potential delayed absorption

doi: 10.1007/s12020-019-02155-w 75 EslamMNewsomePNSarinSKAnsteeQMTargherGRomero-GomezMet al

The important thing about the first 24 hours is resetting your expectations

But if the BUD is only 30 days, you can only use four doses before expiration, wasting roughly a third of the vial
