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Full text was obtained for 36 out of the 37 eligible studies
Additionally, the FDA label for tirzepatide (Mounjaro, Zepbound) specifically warns that it may decrease the absorption of oral contraceptives, recommending backup contraception during initiation and dose escalation
If you need to discontinue tirzepatide due to side effects or pregnancy planning, discussing the full clearance timeline with your provider helps set realistic expectations
So if ACIP recommendation doesnt exist, especially for the seasonal vaccines that Ive been talking about, then Medicaid doesnt pay for it
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