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A GP can perform an appropriate assessment, which typically includes a pregnancy test, potentially blood tests to check for anaemia (full blood count) and ferritin levels, thyroid function if clinically indicated, and sexually transmitted infection testing where relevant

Switching to tirzepatide sometimes produces a stronger response because it activates both GIP and GLP-1 receptors

Side Effects Both medications have similar side effects: Nausea Constipation or diarrhea Fatigue Decreased appetite Tirzepatide may cause slightly less gastrointestinal side effects in the first few weeksbut these often improve with time and dose adjustments

Weight loss may start to accelerate