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B., Impact of Semaglutide and Tirzepatide Administration on Weight in Women With Stage IIII Breast Cancer, Journal of Clinical Oncology 42 (2024): e24140

The primary concern is not direct drug transfer, but indirect effects: tirzepatide-induced caloric restriction could reduce milk supply, and the appetite suppression might prevent mothers from consuming the extra 300-500 calories per day that breastfeeding demands

Stress and poor sleep High caffeine intake or energy drinks Excessive alcohol use or withdrawal Smoking or nicotine products Physical inactivity Use of stimulants or illicit drugs such as cocaine or methamphetamine Dehydration These behaviors can magnify palpitations or tachycardia and increase the likelihood of symptoms appearing

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