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Any menstrual irregularity is more likely a secondary consequence of significant weight loss disrupting the hormonal signals that regulate your cycle

Researchers following protocols for weaning off tirzepatide who are planning to maintain berberine through the transition should be aware that blood glucose may rise as tirzepatide is reduced, potentially requiring upward berberine dose adjustment to maintain metabolic targets

However, they did cover the medication as "Victoza" for diabetes

Youll kick off your Metabolic Reset with lab work and a Comprehensive Health Intake, a few reading lessons from your Calibrate curriculum, a 1:1 video visit with your Calibrate coach to discuss your goals, and then a 20-minute, 1:1 video appointment with your Calibrate clinician