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Temporary hair thinning, known as telogen effluvium, can occur during any period of rapid weight loss or significant caloric deficit

Spironolactone is also not safe in pregnancy because of its anti-androgen effects, so pregnancy avoidance is essential if there is any chance of conception

Consider Generic Alternatives If Coverage Is Denied Lower-cost alternatives to tirzepatide (Zepbound) for weight loss include oral weight loss medications such as Xenical (orlistat), Contrave (bupropion/naltrexone), and Qsymia (phentermine/topiramate)

Dosage Chart Trizepatide Pharmacy Partner #1 With sterile water Concentrated at 15 mg/ml BHH recommends titrating up according to the titration schedule until you reach a dose that provides good appetite suppression and weight loss