Telehealth options have expanded access to tirzepatide prescribers in Spokane
Tirzepatide is a dual GIP/GLP-1 receptor agonist studied for type 2 diabetes and chronic weight management
Clinical trials of these medications have included participants with previous gallbladder removal, though specific safety outcomes in this subgroup have not been systematically reported
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The testing follows the approval of weight loss medication semaglutide in 2021, a once-weekly injectable medication originally used to treat diabetes
This may be explained by the fact that obesity and related comorbidities, such as insulin resistance, alter the functioning of the hypothalamicpituitaryovarian axis, decreasing ovarian responsiveness to gonadotropin stimulation (3, 7)