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[31] Pregnancy registry data also suggest a possible association between the use of topiramate during pregnancy and congenital malformations such as craniofacial defects, hypospadias, and anomalies of various body systems

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this effect is explained by the delay of gastric emptying observed under tirzepatide administration (61)

Fatty food slows stomach emptying and that can make nausea and GI issues worse, Dr

Avoid areas where you can see blood vessels through the skin

In April 2026, the FDA also proposed excluding tirzepatide from the 503B Bulks List, which signals tighter enforcement ahead