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Avoid stimulant laxatives (senna, bisacodyl) for long-term use, as they can create dependence and reduce natural bowel function over time
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Diabetes Care (2016) 39:21421
Real-World Study: Semaglutide Lowers Cardiovascular Risk More Than Tirzepatide in Adults With Obesity and CVD Sydney Jennings Grace Halsey At ESC 2025, the STEER study showed semaglutide reduced risk of heart attack, stroke, or death by 57% vs tirzepatide in adults with obesity and cardiovascular disease, complementing prior trial data
Likewise, if youre weighing tirzepatide against or alongside other metabolic meds, it helps to know how different drug classes affect weight and metabolism for example, SGLT2 inhibitors have a distinct profile and practical implications described in Does Jardiance Cause Weight Loss, which we can use to frame conversations about combination therapy