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The drops can be effective, but absorption is lower than injectable forms

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Tirzepatide (Mounjaro): Commence with 5 mg subcutaneously once weekly, with subsequent weekly titration up to 15 mg or 20 mg, depending on patient response and tolerability

That decision should be individualized

With the exception of California, all of the SBM states are from those regions, as are two of the FFM states (DE and NH)

Potential side effects Since the active molecule is the same, side effects overlap: Nausea or queasiness, especially when you start or increase dose Diarrhea or constipation as your digestive system adapts Occasional fatigue or headache Rare injection-site reactions (not an issue with drops) You may find GI symptoms a bit milder with oral use, or you might notice them more if you take drops on a full stomach