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Your doctor will probably start you on a low dose of tirzepatide and gradually increase your dose, not more than once every 4 weeks

They can investigate potential underlying causes and make adjustments to your treatment plan to help you stay on track with your weight loss goals

References Vaginal Atrophy (Atrophic Vaginitis) Guide: Causes, Symptoms and Treatment Options (drugs.com) 1 comment I think I might be going thru pre menopause dryness and tenderness some of the symptoms that were described

But buried in that data is a critical detail

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Obesity as disruptor of the female fertility