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There may be circumstances when it is necessary to initiate treatment with an MAOI such as linezolid or intravenous methylene blue in a patient taking Duloxetine

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Semaglutide as an alternative If tirzepatide specifically is not available or if you are uncomfortable with your compounded tirzepatide source, compounded semaglutide remains more widely available because the FDA has maintained compounding discretion for semaglutide even after ending it for tirzepatide