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After starting and after each dose increase, tirzepatide can cut the peak absorption of an oral contraceptive by more than half, so the label guidance is a non-oral method or added barrier protection for four weeks after starting and four weeks after each increase. It is a first-dose-and-escalation effect, not a permanent block on all oral drugs
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Please speak with your primary physician if you take blood thinners to make sure that you can safely stop taking these medications
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Another study by Murata found that TRPV1 of corneal neurons in mice works in close relationship to Substance P and CGRP both in the cornea and CNS for healing and nociceptive transduction