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If you are taking Zepbound along with sulfonylureas or insulins, you may need to adjust the dose of these medications to help avoid low blood sugar levels

A quick sanity check method: if your calculated units seem unreasonably high (over 200) or unreasonably low (under 10), re-read your vial label and recalculate

This side effect also seems to be limited to people taking the highest doses of these medications, and can be treated effectively once noticed

Or you may notice that caffeine seems less potent

Administration: Once-weekly injection

Other potentially teratogenic medications like ACE inhibitors, ARBs, and statins should also be discontinued when planning pregnancy