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If your pharmacy started you on a lower dose with a 10 mg/mL vial, they may switch you to 20 mg/mL or higher once you reach the 10 mg or 15 mg dose level

Zepbound should be used with caution in patients with pancreatitis, gallbladder issues, severe gastrointestinal disorders, hypoglycemia, acute renal injury, diabetic retinopathy, and suicidal thoughts or behaviors as there is insufficient data on the drug's safety in these conditions(9 Trusted Source Zepbound (Tirzepatide) Injection, for subcutaneous use Go to source).

- [USP Chapter 797: Pharmaceutical Compounding - Sterile Preparations]( *United States Pharmacopeia*, 2023

Alcohol is a diuretic, meaning it increases urination and can cause dehydration and this effect can happen more quickly when you're on tirzepatide