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Why does the article want a full medication review before the first dose rather than after

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Commonly reported triggers include spicy foods, citrus fruits, tomatoes, chocolate, caffeinated drinks, alcohol, artificial sweeteners, overexertion, prolonged sitting, exercises that work the abdominal muscles (eg, sit-ups and crunches), riding a bicycle or horse, sexual activity, and wearing tight clothing

Tirezepatide can particularly affect the absorption of oral medications, so she says the prescribing information for the medication includes a recommendation to use a non-oral contraceptive