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Tirzepatide cannot be prescribed to anyone with the following and should not be purchased: BMI under 27, eating disorder, gallbladder disease, drug or alcohol abuse, recent bariatric surgery, pancreatitis, medullary thyroid cancer, currently pregnant or breastfeeding, planning to become pregnant, Diabetic retinopathy, Multiple endocrine neoplasia type 2, family history of medullary thyroid carcinoma thyroid carcinoma

Prescribing the two components separately allows more precise dose adjustments, individualized titration, and often significantly lower out-of-pocket cost for patients