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In person consultations with a weight loss doctor can identify conditions that make these medications inadvisable, the bloodwork establishes a starting point and ensures proper dosing, and the ongoing follow-up helps manage side effects and determines whether the patient is losing fat, losing muscle, or developing a complication that needs attention

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However, these side effects are also more common at the beginning of treatment and may decrease as the body adjusts to the medication

Several mechanisms could theoretically explain respiratory symptoms in patients taking Mounjaro , though none are definitively established: Gastro-oesophageal reflux disease (GORD) : The delayed gastric emptying caused by tirzepatide (noted in the SmPC) may theoretically exacerbate reflux symptoms in susceptible individuals, potentially leading to chronic cough through aspiration or irritation of the airways [1] Allergic or hypersensitivity reactions : Though uncommon, any medication can potentially trigger allergic responses, which may include respiratory manifestations Coincidental respiratory infections : Patients may develop upper respiratory tract infections unrelated to their diabetes medication It is crucial to consider alternative explanations for cough in patients taking Mounjaro