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If a woman has pre-existing insulin resistance which is almost always the case if she has PCOS going into pregnancy its important to eat a nutrient dense Paleo type of diet and restrict carbohydrate intake to maybe 400 calorie a day and to do resistance training, like strength training

Tirzepatide injections bypass the stomach, but systemic dehydration from diarrhea or fever still reduces blood volume and slows drug distribution to target receptors in the brain and pancreas

4 month supply per vial(varies with titration schedule)* Prescription products require a medical consultation with a licensed provider, who will determine whether treatment is clinically appropriate