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If you prefer to stay on oral birth control pills, you are advised to avoid sex or use condoms for 4 weeks after starting Mounjaro and for 4 weeks after every dose increase

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10.1002/glia.23109 184 HofmansS.Vanden BergheT.DevisscherL.HassanniaB.LyssensS.JoossensJ.et al (2016)