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Understanding whether tirzepatide burns fat or just suppresses appetite and whether tirzepatide increases metabolism helps calibrate realistic expectations about the mechanism

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A meaningful minority has more significant issues

Very heavy bleeding (menorrhagia): Soaking through sanitary products every one to two hours, passing large clots, or bleeding that lasts longer than seven days may indicate anaemia risk or other pathology requiring investigation

Compounded semaglutide from licensed 503A pharmacies can be prepared at multiple strengths to support this step-wise titration safely

Those with a BMI of 27 and weight-related complications like hypertension or type-2 diabetes might qualify