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It is a medical necessity while on tirzepatide

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SGLT2 inhibitors such as empagliflozin or dapagliflozin substantially increase genital yeast infection risk due to increased urinary glucose excretion

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The key points are simple: doses are measured in milligrams, "units" on a syringe describe volume rather than strength, most people start low and step up slowly, and microdosing is an option for those who are more sensitive