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If you are using tirzepatide (Mounjaro), you should use condoms along with your pill for four weeks after you start the medicine and for four weeks after any dose increase

Compounded GLP medications use the same active pharmaceutical ingredient as brand-name medications

Diabetes Obes Metab (2020) 22:93846

Improved glucose control with weight loss, lower insulin doses, and no increased hypoglycemia with empagliflozin added to titrated multiple daily injections of insulin in obese inadequately controlled type 2 diabetes

Reconstituted with 1mL for 20mg/mL concentration, even the highest 12mg dose only requires 60 units, well within a single syringe draw
