It is important to distinguish between a direct drug effect and indirect consequences of metformin therapy
Lancet (London, England) , 397 (10278), 971984
[DOI] [PMC free article] [PubMed] [Google Scholar] 57.Jais A., Brning J.C
Severe gastrointestinal disease represents another important contraindication for tirzepatide, particularly in patients with gastroparesis or other conditions causing significant delays in gastric emptying
In many cases the stall also points to something the medication was never going to fix on its own, like a sluggish thyroid, high fasting insulin, elevated cortisol, or muscle loss that has quietly slowed your metabolism
Serum folic acid and erectile dysfunction: a systematic review and meta-analysis