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The FDA recommends switching to a non-oral method (like an IUD or implant) or adding a barrier method for four weeks after starting tirzepatide and after each dose increase.

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However, in the context of Retatrutide, its glucagon agonism is believed to contribute to increased energy expenditure and direct fat burning, complementing the appetite-suppressing and glucose-lowering effects of GIP and GLP-1

Therefore, in cases of diabetes (both T1DM and T2DM), acromegaly and liver failure, a thorough understanding of normal physiology and pathophysiology will certainly help the treating physician to make the right decisions on how to intervene and improve metabolism for the benefit of patients