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Hormonal birth control: If you are using an oral hormonal contraceptive (birth control), Zepbound may decrease its efficacy, especially after the first dose
Current Nutrition Reports, 9(3), 251257
Dipeptidyl peptidase IV and related enzymes in cell biology and liver disorders
The research doesn't suggest harm from longer cycles, but periodic breaks are a reasonable precaution given limited long-term human data
SAGE Journals McGuire FP, et al
Effects of gut microbiota manipulation by antibiotics on host metabolism in obese humans: a randomized double-blind placebo-controlled trial
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