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Step 4: expect closer monitoring Your pregnancy will likely include: An early dating ultrasound (6-8 weeks) A detailed anatomy scan (18-20 weeks) Potentially more frequent growth scans Standard genetic screening (which you should do regardless) Nutritional counseling (especially regarding adequate caloric intake after stopping a weight loss medication) Tell every healthcare provider involved in your pregnancy about the tirzepatide exposure

If eligible, youll enjoy either an asynchronous consultationwhere you can respond on your timeor a live virtual session with a trusted medical provider

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If your test shows a higher genetic risk for prolonged sulfur burps, your provider may recommend preventive dietary strategies earlier in treatment or suggest tirzepatide as an alternative

Medicine (Baltimore) 84:137146