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Patients with Graves disease should have stable, controlled thyroid function before undergoing elective bariatric surgery, and endocrinology consultation is recommended for perioperative management

Other potential concerns associated with tirzepatide: Birth control interactions: Tirzepatide may reduce the effectiveness of oral hormonal birth control, such as desogestrel, ethinyl estradiol, and levonorgestrel, so it is recommended to switch to non-oral contraceptives before starting tirzepatide

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Bile is secreted by the liver as a greenish-yellow fluid containing bilirubin