{"id":34231,"date":"2026-10-12T13:21:00","date_gmt":"2026-10-12T20:21:00","guid":{"rendered":"https:\/\/getheally.com\/patients\/news\/where-to-get-a-tirzepatide-prescription-copy"},"modified":"2026-10-13T05:32:01","modified_gmt":"2026-10-13T12:32:01","slug":"how-to-adapt-during-the-first-month-of-tirzepatide-use","status":"publish","type":"post","link":"https:\/\/getheally.com\/patients\/news\/how-to-adapt-during-the-first-month-of-tirzepatide-use","title":{"rendered":"How to adapt during the first month of tirzepatide use"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">The first month on tirzepatide is about adjusting, not maximizing weight loss. You&#8217;ll spend all four weeks on the 2.5 mg starter dose while your body gets used to slower digestion and a quieter appetite. The people who do best in month one change how they eat, protect their muscle, plan their weekly shot and watch for a few easy-to-miss issues, like birth control and upcoming procedures. Here&#8217;s a practical playbook for adapting well.<\/span><\/p>\n<h2 id=\"key-takeaways\"><span style=\"font-weight: 400;\">Key takeaways<\/span><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Month one is spent on 2.5 mg weekly, a dose meant for tolerance rather than maximum weight loss<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eat on a schedule, start meals with protein and stop at the first sign of fullness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If you use birth control pills, add a barrier method or switch to a non-pill method for the first 4 weeks<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tell your surgeon or endoscopy team you&#8217;re on tirzepatide, since elective procedures are best delayed until after dose increases<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Light walks and two short strength sessions a week help protect muscle while you lose weight<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">At week 4, you and your provider decide whether you&#8217;re ready to move up to 5 mg<\/span><\/li>\n<\/ul>\n<h2 id=\"what-changes-during-your-first-month-on-tirzepatide\"><span style=\"font-weight: 400;\">What changes during your first month on tirzepatide<\/span><\/h2>\n<p><a href=\"https:\/\/getheally.com\/patients\/weight-loss-info\/what-is-tirzepatide\"><span style=\"font-weight: 400;\">Tirzepatide<\/span><\/a><span style=\"font-weight: 400;\">, sold as <\/span><a href=\"https:\/\/getheally.com\/patients\/zepbound\"><span style=\"font-weight: 400;\">Zepbound<\/span><\/a><span style=\"font-weight: 400;\"> for weight loss and <\/span><a href=\"https:\/\/getheally.com\/patients\/mounjaro\"><span style=\"font-weight: 400;\">Mounjaro<\/span><\/a><span style=\"font-weight: 400;\"> for type 2 diabetes, slows how fast your stomach empties and turns down hunger signals. In month one, most people notice:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Feeling full sooner and for longer<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Less interest in snacks and large portions<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Some digestive side effects, especially in the first few days after each shot<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Modest changes on the scale<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you want the hour-by-hour picture of your first injection, see <\/span><a href=\"https:\/\/getheally.com\/patients\/news\/what-to-expect-after-the-first-dose-of-tirzepatide\"><span style=\"font-weight: 400;\">what to expect after the first dose of tirzepatide<\/span><\/a><span style=\"font-weight: 400;\">. For a full timeline beyond month one, read our <\/span><a href=\"https:\/\/getheally.com\/patients\/news\/the-week-by-week-timeline-what-to-expect-during-your-first-3-months-on-tirzepatide\"><span style=\"font-weight: 400;\">week-by-week guide to your first 3 months<\/span><\/a><span style=\"font-weight: 400;\">. This guide focuses on the habits that help you adapt.<\/span><\/p>\n<h2 id=\"how-to-adapt-your-eating-when-your-appetite-drops\"><span style=\"font-weight: 400;\">How to adapt your eating when your appetite drops<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The biggest shift in month one is that your hunger cues change. You may not feel hungry at your usual mealtimes, and you&#8217;ll feel full after much less food. That&#8217;s the medication working, but it means you need a new approach to eating:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Eat on a schedule, not just when you&#8217;re hungry.<\/b><span style=\"font-weight: 400;\"> Skipping meals can lead to low energy, dizziness and muscle loss. Aim for three small meals, plus a snack if needed.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Start with protein.<\/b><span style=\"font-weight: 400;\"> Eat the protein on your plate first, such as eggs, Greek yogurt, fish, chicken, tofu or beans. If you fill up quickly, you&#8217;ll still have gotten what matters most.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Use smaller plates and slow down.<\/b><span style=\"font-weight: 400;\"> Put your fork down between bites. It takes time for fullness signals to catch up.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Stop at the first sign of fullness.<\/b><span style=\"font-weight: 400;\"> Eating past it is a common cause of nausea and reflux on tirzepatide.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Drink between meals, not with them.<\/b><span style=\"font-weight: 400;\"> Large drinks during meals can make you feel overly full. Sip water throughout the day instead.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Go easy on greasy, fried and very sugary foods.<\/b><span style=\"font-weight: 400;\"> These sit longer in the stomach and tend to trigger nausea.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Limit alcohol.<\/b><span style=\"font-weight: 400;\"> Alcohol can worsen nausea and low blood sugar, and it adds calories with no nutrition.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For meal ideas that fit this approach, see the <\/span><a href=\"https:\/\/getheally.com\/patients\/news\/best-foods-while-taking-tirzepatide-for-the-best-results\"><span style=\"font-weight: 400;\">best foods to eat while taking tirzepatide<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Supporting your treatment: <\/span><a href=\"https:\/\/getheally.com\/patients\/test-for-weight-loss\"><span style=\"font-weight: 400;\">weight loss lab panel<\/span><\/a><span style=\"font-weight: 400;\"> \u00b7 <\/span><a href=\"https:\/\/getheally.com\/patients\/weight-loss-prescription\"><span style=\"font-weight: 400;\">weight loss prescription<\/span><\/a><span style=\"font-weight: 400;\"> \u00b7 <\/span><a href=\"https:\/\/getheally.com\/patients\/semaglutide\"><span style=\"font-weight: 400;\">semaglutide<\/span><\/a><\/p>\n<h2 id=\"how-to-handle-side-effects-in-month-one\"><span style=\"font-weight: 400;\">How to handle side effects in month one<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Most side effects are mild and fade as your body adjusts. Here&#8217;s what tends to help:<\/span><\/p>\n<table>\n<thead>\n<tr>\n<th><b>Side effect<\/b><\/th>\n<th><b>What usually helps<\/b><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">Nausea<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Smaller meals, bland foods, ginger, eating slowly, not lying down after meals<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Constipation<\/span><\/td>\n<td><span style=\"font-weight: 400;\">More water, fiber from vegetables and whole grains, daily walks<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Diarrhea<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Fluids with electrolytes, fewer greasy and sugary foods<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Reflux or burping<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Smaller, earlier dinners and avoiding fizzy drinks<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Fatigue<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Regular meals with protein, hydration and steady sleep<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">Give changes a week or two before deciding they don&#8217;t work. If nausea is your main problem, our guide on <\/span><a href=\"https:\/\/getheally.com\/patients\/news\/how-to-prevent-nausea-when-using-tirzepatide\"><span style=\"font-weight: 400;\">how to prevent nausea on tirzepatide<\/span><\/a><span style=\"font-weight: 400;\"> goes deeper. For loose stools, see <\/span><a href=\"https:\/\/getheally.com\/patients\/news\/how-to-manage-diarrhea-on-tirzepatide\"><span style=\"font-weight: 400;\">how to manage diarrhea on tirzepatide<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2 id=\"birth-control-the-month-one-step-many-people-miss\"><span style=\"font-weight: 400;\">Birth control: the month-one step many people miss<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Tirzepatide slows stomach emptying, which can reduce how well birth control pills are absorbed. Lilly&#8217;s guidance for Zepbound is clear: if you use oral hormonal contraceptives, switch to a non-oral method or add a barrier method, such as condoms:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">For <\/span><b>4 weeks after you start<\/b><span style=\"font-weight: 400;\"> tirzepatide<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">For <\/span><b>4 weeks after each dose increase<\/b><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Non-oral options like an IUD, implant, patch, ring or injection aren&#8217;t affected. Tirzepatide also isn&#8217;t recommended during pregnancy, so talk to your provider if you&#8217;re planning to conceive.<\/span><\/p>\n<h2 id=\"have-surgery-or-a-procedure-coming-up-tell-your-care-team\"><span style=\"font-weight: 400;\">Have surgery or a procedure coming up? Tell your care team<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">GLP-1 medications like tirzepatide slow how fast food leaves your stomach. During anesthesia, food left in the stomach raises the risk of inhaling stomach contents into the lungs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In October 2024, five medical societies, including the American Society of Anesthesiologists, issued joint guidance. Most people can keep taking GLP-1 drugs before surgery. But people in the dose-increase phase are at higher risk, and elective procedures are best delayed until that phase ends and digestive symptoms settle. Some people may be asked to follow a liquid diet for 24 hours beforehand.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you have a colonoscopy, endoscopy, dental sedation or surgery scheduled, tell both your tirzepatide prescriber and the procedure team as early as possible.<\/span><\/p>\n<h2 id=\"how-to-stay-active-and-protect-your-muscle\"><span style=\"font-weight: 400;\">How to stay active and protect your muscle<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">When you eat less, your body can lose muscle along with fat. Muscle helps keep your metabolism up and your body strong, so protecting it matters from the start:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Walk after meals.<\/b><span style=\"font-weight: 400;\"> A 10 to 15 minute walk helps digestion and blood sugar.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Add two short strength sessions a week.<\/b><span style=\"font-weight: 400;\"> Bodyweight squats, wall push-ups, resistance bands or light weights are enough to start.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Keep protein at every meal<\/b><span style=\"font-weight: 400;\">, as above.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Start gently.<\/b><span style=\"font-weight: 400;\"> If you feel tired or lightheaded, scale back and make sure you&#8217;re eating and drinking enough.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For more on balancing exercise with treatment, see <\/span><a href=\"https:\/\/getheally.com\/patients\/news\/balancing-tirzepatide-with-your-fitness-goals-can-you-build-muscle-while-losing-fat\"><span style=\"font-weight: 400;\">can you build muscle while losing fat on tirzepatide<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2 id=\"building-your-weekly-injection-routine\"><span style=\"font-weight: 400;\">Building your weekly injection routine<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">A steady routine makes the rest of treatment easier:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Pick one injection day and stick to it.<\/b><span style=\"font-weight: 400;\"> Set a phone reminder.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Rotate injection sites<\/b><span style=\"font-weight: 400;\"> between your abdomen, thighs and upper arms. See <\/span><a href=\"https:\/\/getheally.com\/patients\/news\/where-to-inject-tirzepatide-for-maximum-effect\"><span style=\"font-weight: 400;\">where to inject tirzepatide for the best effect<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Store pens or vials correctly<\/b><span style=\"font-weight: 400;\">, refrigerated and away from freezing.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Know the missed-dose rule.<\/b><span style=\"font-weight: 400;\"> If you miss a dose, take it within 4 days (96 hours) of your scheduled day. If more than 4 days have passed, skip it and take your next dose on your usual day. More in <\/span><a href=\"https:\/\/getheally.com\/patients\/news\/what-will-happen-if-you-skip-tirzepatide-dose\"><span style=\"font-weight: 400;\">what happens if you skip a tirzepatide dose<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Dispose of needles safely<\/b><span style=\"font-weight: 400;\"> in a sharps container.<\/span><\/li>\n<\/ul>\n<h2 id=\"what-weight-loss-to-expect-in-the-first-month\"><span style=\"font-weight: 400;\">What weight loss to expect in the first month<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Expect modest results. The 2.5 mg starter dose is designed for tolerance, not maximum weight loss. Many people lose a few pounds in the first month, and some lose more from reduced appetite and less water retention. Bigger changes usually come after the dose increases in months two to six.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Try to judge month one by how well you&#8217;re adapting, not just the scale. Are you eating regularly, getting protein, sleeping well and managing side effects? Those habits drive long-term results. For realistic numbers, see <\/span><a href=\"https:\/\/getheally.com\/patients\/news\/how-much-weight-can-you-lose-on-mounjaro-in-a-month\"><span style=\"font-weight: 400;\">how much weight you can lose on tirzepatide in a month<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h2 id=\"the-week-4-check-in-are-you-ready-for-5-mg\"><span style=\"font-weight: 400;\">The week-4 check-in: are you ready for 5 mg?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">At the end of month one, your provider will usually discuss moving up to 5 mg. You&#8217;re likely ready if:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Side effects are mild or fading<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You&#8217;re eating enough to keep your energy up<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You&#8217;re staying hydrated without much effort<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You haven&#8217;t had vomiting, severe pain or signs of dehydration<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It&#8217;s fine to stay on 2.5 mg a bit longer if side effects are still bothering you. Moving up too fast is one of the main reasons people stop treatment. Our guide on <\/span><a href=\"https:\/\/getheally.com\/patients\/news\/when-to-increase-tirzepatide-dose-2\"><span style=\"font-weight: 400;\">when to increase your tirzepatide dose<\/span><\/a><span style=\"font-weight: 400;\"> covers this decision in detail. And remember the birth control rule restarts for 4 weeks after each increase.<\/span><\/p>\n<h2 id=\"when-to-call-your-provider\"><span style=\"font-weight: 400;\">When to call your provider<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Contact your provider promptly if you have:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vomiting that won&#8217;t stop or you can&#8217;t keep fluids down<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Signs of dehydration, such as dizziness, very dark urine or little urine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Severe stomach pain, especially if it spreads to your back<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pain in the upper right abdomen, fever or yellowing skin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Symptoms of low blood sugar, if you also take insulin or a sulfonylurea<\/span><\/li>\n<\/ul>\n<h2 id=\"the-bottom-line\"><span style=\"font-weight: 400;\">The bottom line<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The first month on tirzepatide is a training period. Eat on a schedule, put protein first and stop at the first sign of fullness. Stay hydrated, walk after meals and add a little strength training. Don&#8217;t overlook the practical details: back up birth control pills, tell your procedure team you&#8217;re on a GLP-1 medication, and build a steady weekly injection routine. At week 4, move up to 5 mg only when you feel ready. Getting these habits right in month one sets you up for the bigger results that come later.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\">Starting tirzepatide soon? Heally providers can guide your first month and every dose change after. <\/span><\/i><a href=\"https:\/\/getheally.com\/patients\/tirzepatide\"><i><span style=\"font-weight: 400;\">Start with a free consultation through Heally&#8217;s tirzepatide program<\/span><\/i><\/a><i><span style=\"font-weight: 400;\">.<\/span><\/i><\/p>\n<h2 id=\"faq\"><span style=\"font-weight: 400;\">FAQ<\/span><\/h2>\n<h3 id=\"what-should-i-eat-during-my-first-month-on-tirzepatide\"><span style=\"font-weight: 400;\">What should I eat during my first month on tirzepatide?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Small, regular meals built around protein, vegetables and fiber-rich carbs. Eat protein first, stop at the first sign of fullness and limit greasy, fried and very sugary foods, which often trigger nausea. Sip water between meals.<\/span><\/p>\n<h3 id=\"how-much-weight-will-i-lose-in-the-first-month-on-tirzepatide\"><span style=\"font-weight: 400;\">How much weight will I lose in the first month on tirzepatide?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Usually a few pounds. The first month is spent on the 2.5 mg starter dose, which is meant to help your body adjust. Larger weight loss typically comes after dose increases in the following months.<\/span><\/p>\n<h3 id=\"does-tirzepatide-affect-birth-control-pills\"><span style=\"font-weight: 400;\">Does tirzepatide affect birth control pills?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Yes. It can reduce how well oral contraceptives are absorbed. Lilly advises switching to a non-oral method or adding a barrier method for 4 weeks after starting tirzepatide and for 4 weeks after each dose increase.<\/span><\/p>\n<h3 id=\"should-i-stop-tirzepatide-before-surgery\"><span style=\"font-weight: 400;\">Should I stop tirzepatide before surgery?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Talk to your surgeon and prescriber. Under 2024 guidance, most people can continue GLP-1 drugs, but elective procedures are best delayed until the dose-increase phase ends. Some people may need a 24-hour liquid diet beforehand.<\/span><\/p>\n<h3 id=\"when-should-i-increase-my-tirzepatide-dose\"><span style=\"font-weight: 400;\">When should I increase my tirzepatide dose?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Usually after 4 weeks on 2.5 mg, if side effects are mild and you&#8217;re eating and drinking enough. It&#8217;s fine to stay on the starter dose longer if you&#8217;re still adjusting. Your provider makes the final call.<\/span><\/p>\n<h3 id=\"can-i-exercise-during-the-first-month-of-tirzepatide\"><span style=\"font-weight: 400;\">Can I exercise during the first month of tirzepatide?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Yes, and it helps. Start with walks after meals and two short strength sessions a week. Go easy if you feel tired or lightheaded, and make sure you&#8217;re eating enough protein and staying hydrated.<\/span><\/p>\n<h2 id=\"sources\"><span style=\"font-weight: 400;\">Sources<\/span><\/h2>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">US Food and Drug Administration. &#8220;ZEPBOUND (tirzepatide) prescribing information.&#8221;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lilly Medical. &#8220;Can Zepbound (tirzepatide) be used with oral contraceptives or hormone replacement therapy?&#8221; <\/span><a href=\"https:\/\/medical.lilly.com\/us\/products\/answers\/can-zepbound-tirzepatide-be-used-with-oral-contraceptives-or-hormone-replacement-therapy-211019\"><span style=\"font-weight: 400;\">medical.lilly.com<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">American Society of Anesthesiologists. &#8220;Most patients can continue diabetes, weight loss GLP-1 drugs before surgery,&#8221; October 2024. <\/span><a href=\"https:\/\/www.asahq.org\/about-asa\/newsroom\/news-releases\/2024\/10\/new-multi-society-glp-1-guidance\"><span style=\"font-weight: 400;\">asahq.org<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Jastreboff AM, et al. &#8220;Tirzepatide Once Weekly for the Treatment of Obesity&#8221; (SURMOUNT-1). <\/span><i><span style=\"font-weight: 400;\">New England Journal of Medicine<\/span><\/i><span style=\"font-weight: 400;\">, 2022.<\/span><\/li>\n<\/ol>\n<p><i><span style=\"font-weight: 400;\">This article is for educational purposes only and is not a substitute for professional medical advice. Tirzepatide is available by prescription only. It carries an FDA boxed warning about the risk of thyroid C-cell tumors. Do not use it if you or a family member has had medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2. Always follow your provider&#8217;s guidance on dosing and timing.<\/span><\/i><\/p>\n","protected":false},"excerpt":{"rendered":"The first month on tirzepatide is about adjusting, not maximizing weight loss. You&#8217;ll spend all four weeks on&hellip;\n","protected":false},"author":10,"featured_media":34254,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1835,1829,1794,1834],"tags":[2343,1831,2412,1830,1832],"class_list":{"0":"post-34231","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-mounjaro","8":"category-tirzepatide","9":"category-weight-loss","10":"category-zepbound","11":"tag-getting-started","12":"tag-mounjaro","13":"tag-timeline","14":"tag-tirzepatide","15":"tag-zepbound"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>How to Adapt During the First Month of Tirzepatide Use?<\/title>\n<meta name=\"description\" content=\"First month tirzepatide tips on side effects, meals, hydration, activity, and progress, plus 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