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The skin should be healthy, intact, and free of any of the following

Tirzepatide : Zepbound, a weight-loss medication containing the active ingredient tirzepatide, received FDA approval in November 2023 as a treatment option for individuals struggling with obesity and weight-related health conditions

Acute pancreatitis develops suddenly and can cause severe abdominal pain, nausea, and elevated pancreatic enzymes in the blood

Gastritis and gastroesophageal reflux : Alcohol increases gastric acid secretion and can damage the gastric mucosa, while delayed gastric emptying from tirzepatide may worsen reflux symptoms