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Oral Contraceptives Tirzepatide is not anticipated to decrease the effectiveness of oral contraceptives as tirzepatide did not change the overall exposure of ethinylestradiol and levonorgestrel to a clinically relevant degree when an oral contraceptive combination medicinal product (0.03 mg ethinylestradiol/0.15 mg levonorgestrel) was co-administered with tirzepatide

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Being deficient in red blood cells can also cause an excess of bilirubin a red/brown-coloured substance that the liver produces to circulate in the blood