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Avoid areas that are bruised, tender, red, scarred, or have lesions

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Objective diagnostic evidence confirming the obstruction, including imaging such as CT, X-ray, or MRI, as well as any operative or pathology reports

Women should not only rely on oral contraception in such a situation but either add a barrier contraception method for 4 weeks after initiation until four 4 weeks after the last dose escalation of tirzepatide or switch to a completely nonoral contraceptive method (61)

86 A meta-analysis of 16 separate studies, employing a random-effects model, reported a non-significant increase in the prevalence of IBD following DPP4 inhibitor exposure
