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While changes in libido are not listed as common adverse effects of tirzepatide, any significant or distressing changes in sexual function warrant medical evaluation

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Central to this shift is the recognition that intestinal reparative therapy, defined by objective endpoints such as endoscopic and histologic healing, is strongly associated with improved long-term outcomes

In the differential diagnosis of vascular lesions, melanosis, pigmented BCC, melanoma and Bowenoid papulosis, dermoscopy is a useful tool compared with naked-eye (46-48)

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Wegovy does not directly affect thyroid hormones, but weight loss achieved during treatment may influence thyroid medicine requirements