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When you are first prescribed qsymia, there is a two-week titration dose before you go up to the normal monthly dose

Conditions primarily driven by autoantibody-mediated mechanisms, like lupus or myasthenia gravis, are less likely to see meaningful benefit from tirzepatide anti-inflammatory properties

However, persistent itching lasting days, systemic pruritus, or itching accompanied by hives, swelling, or breathing difficulty warrants immediate communication with your healthcare provider

Labs may show polycythemia and thyroid dysfunction

if your current dose no longer produces the appetite reduction you experienced initially, you may feel hungrier even though the medication is still working at a physiological level