Those include: Abdominal pain, such as tenderness and cramping Burping Dizziness Fatigue Gassiness Hair loss Injection site reactions "These types of effects can be uncomfortable at the time, but they're not usually enough to change your Zepbound dosage or switch to a different medication, especially since they are often alleviated by staying on Zepbound for a few weeks or longer, Decotiis says
As always, our advice is simple: smaller doses carry less risk
For complex cases, consider referring patients to an endocrinologist, cardiologist, or rheumatologist, as needed
Never discontinue tirzepatide without medical supervision
Mounjaro is contraindicated in people with a personal or family history of MTC or MEN 2, but these are rare conditions unrelated to standard hypothyroidism or Hashimotos