Do Not Discard
Many patients taking tirzepatide use other medications that can cause or worsen ED, including: Beta-blockers (especially non-selective agents) and thiazide diuretics Selective serotonin reuptake inhibitors (SSRIs) and antipsychotics 5-alpha reductase inhibitors (finasteride, dutasteride) Opioids, spironolactone, clonidine, and cimetidine Other medical conditions such as obstructive sleep apnea and hypogonadism (testosterone deficiency) are common in patients with diabetes and obesity and independently contribute to ED
If improvement is minimal, add bismuth subsalicylate (Pepto-Bismol) after meals and consider discussing slower dose titration with your provider
If allowed to accumulate in the blood, free radicals can cause cell damage
However, they may contribute to: faster weight loss in some patients significant fat reduction changes in body composition Loose skin is related to weight loss itself, not the medication
Studies have documented its capacity to stimulate collagen and glycosaminoglycan synthesis, accelerate wound healing, promote angiogenesis, exert antioxidant and anti-inflammatory effects, and modulate the expression of genes involved in tissue repair and regeneration