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Guidelines Exclusion Criteria Exclusion Criteria If present, the following indicate that the client should not receive tirzepatide (1-5): Diagnosis of Type I diabetes Personal or family history of medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 Severe gastrointestinal dysmotility History of pancreatitis Pregnancy Proliferative Diabetic Retinopathy (PDR), severe Nonproliferative Diabetic Retinopathy (NDR), clinically significant myalgic encephalomyelitis (ME), or diabetic macular edema (DME) unless the risks and benefits have been discussed with the client and are documented in the clients health record along with monitoring plans and follow-up with an eye specialist who is informed at the time of initiation

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Handling and Storage Recommendations Store at -20C and protect from light (keep in original packaging or a light-limiting container)

Check in with your care team for dose adjustments and ongoing support

Traditional in-person visits can be time-consuming, which is why telehealth services are becoming an increasingly appealing option for women looking for effective PCOS management

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