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While exercise is beneficial for diabetes management and weight loss, patients should avoid sudden intense exertion during the first weeks of therapy or after dose increases

Consider a provider with a stronger track record on delivery timelines

[40] [41] Contraindications [edit] Semaglutide is contraindicated in people with a personal or family history of medullary thyroid carcinoma or in people with multiple endocrine neoplasia type 2

Mounjaro should be avoided if you have a family history of medullary thyroid cancer (MTC) or have multiple endocrine neoplasia syndrome type 2 (MEN 2)

Tirzepatide can be dosed at any consistent time, but morning or early afternoon provides maximum separation from bedtime sermorelin