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Keep working sets within 2-3 reps of failure using challenging loads, even if total sets are reduced
If side effects remain intolerable after 8 weeks at a stable dose, switching to the alternative medication (tirzepatide to semaglutide or vice versa) is a reasonable clinical option
While it can indirectly influence hormonal balance through weight loss, there is no direct evidence suggesting it directly affects the menstrual cycle
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