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Appetite support supplements are generally not recommended while breastfeeding, since breastfeeding comes with higher caloric needs to support your milk supply

The FDA prescribing information for tirzepatide provides specific guidance for resuming treatment after a missed dose

Jiang, Y., Liao, L., Yang, F., Zeng, X., & Zhang, W

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This is why it is critical to work with a licensed provider who can monitor your vitals and adjust your other medications as you lose weight