Weight

Enter current body weight

Height (Optional)

For BMI calculation and personalized recommendations

Treatment Indication

Primary reason for Tirzepatide treatment

Treatment Status

Current stage of Tirzepatide treatment

Relevant Medical History

Gastroparesis or severe GI disorders History of pancreatitis Kidney disease Personal/family history of thyroid cancer

Check all that apply for safety considerations

For educational purposes only. Always consult healthcare professionals for medical decisions.

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