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Menstrual changes that have been anecdotally reported include: Irregular cycle timing or missed periods Heavier or lighter menstrual flow Changes in premenstrual symptoms Breakthrough bleeding between periods It is important to note that there is no official direct link established between tirzepatide's pharmacological mechanism and menstrual function

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The other systematic review analysed vitamin C supplementation in pregnancy [90]

doi: 10.2337/ds17-0013