Pre & Post Care
Botox / Neuromodulator Treatment Care
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Neuromodulator Pre-Treatment Instructions
To ensure your safety and achieve the best possible results, please follow these guidelines before your appointment:
1. 7–10 Days Before Treatment
Avoid aspirin (unless prescribed by your doctor) and other NSAIDs such as Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®, as well as Fish Oil, Ginkgo Biloba, St. John’s Wort, and high doses of Vitamin E.
These may increase your risk of bleeding or bruising at the injection site.
Optional: Start eating pineapple or taking bromelain supplements daily to help minimize post-treatment bruising and swelling.
2. 24 Hours Before Treatment
Avoid alcoholic beverages, as alcohol increases your risk of bruising and swelling.
Avoid sun exposure to prevent sunburn in the treatment area.
3. Day of Treatment
Avoid waxing, bleaching, tweezing, or using hair removal creams** on or near the area being treated.
If desired, take Tylenol® (acetaminophen) about 1 hour before your appointment to reduce potential discomfort (if not contraindicated).
Eat a small meal or snack prior to your appointment to help maintain stable blood sugar and minimize lightheadedness.
Inform your injector of your full medical history and all medications or supplements you’re currently taking.
If you have a history of cold sores (Herpes Simplex) on your face, please notify your injector before treatment, as a preventive antiviral medication may be recommended.
⚠️ Precautions — You May Not Be a Candidate If You Have:
Myasthenia Gravis
Neuromuscular disorders
Allergy to Botulinum Toxin
Allergy to human albumin
Pregnancy or are currently breastfeeding
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Neuromodulator Aftercare Instructions
Thank you for choosing us for your treatment. Please follow these aftercare guidelines to ensure optimal results and minimize side effects:
Things to Avoid
Facials, saunas, and facial massages for 1–2 weeks after treatment to prevent Botox migration.Swimming (especially in the ocean) and makeup application for 24 hours to reduce infection risk.
Touching, rubbing, or massaging the treated areas for 24 hours.
Exercise and sweating for 24 hours after your treatment.
What to Expect
⏱ Results typically begin to appear in 4–5 days and can take up to 14 days to fully develop.
Please wait the full two weeks before assessing your final results.
Mild swelling or bruising may occur and is temporary.
This usually peaks around 2–3 days and resolves within 1–2 weeks.Tips for Comfort
Eating pineapple or taking bromelain supplements, and applying topical arnica gel or witch hazel, may help reduce bruising and swelling.
Avoid Ibuprofen, Advil, or Motrin (as they may increase bruising).
Tylenol is safe for discomfort.
Understanding Your Treatment
Neuromodulators (Botox, Xeomin, Jeuveau, Dysport, Daxxify) are temporary treatments.
For first-time clients, we start conservatively with fewer units to gauge your response.
If your results fade in less than 3–4 months or you notice more movement than desired, your next treatment may require a higher dose for optimal longevity and results.
Follow-Up
We recommend a follow-up appointment in 2 weeks, especially after your first treatment.
This allows us to assess how your muscles have responded and make any necessary adjustments.
Additional charges apply for touch-ups of 5 units or more.
Ongoing Care
Apply sunscreen daily to protect your skin and enhance the longevity of your results.
Please contact us with any questions or concerns — your satisfaction and safety are our priority!
Facial Sculpting Treatment Care
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Before Your Dermal Filler Procedure
To ensure your safety, comfort, and the best possible outcome, please review and follow these guidelines prior to your appointment.
Preparation Tips
You may take Tylenol® (acetaminophen) one hour before your appointment to help prevent any discomfort (if not contraindicated).
Begin taking arnica and/or bromelain supplements (found in pineapples) a few days before your treatment to help minimize post-injection swelling and bruising.
If you are taking blood thinners** such as Aspirin, Coumadin, Eliquis, Xarelto, Pradaxa, or Plavix, please inform us — do not stop taking your prescribed medication unless directed by your physician.
Avoid aspirin, NSAIDs (Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®), Fish Oil, Ginkgo Biloba, St. John’s Wort, and high doses of Vitamin E for 7–10 days prior to your appointment, unless medically necessary.
These can increase your risk of bruising or bleeding at the injection site.
Before Your Appointment
If you have a history of cold sores (Herpes Simplex), please notify us one week before your appointment so we can prescribe medication to prevent an outbreak that may affect your lip filler results.
Avoid dental procedures (including cleanings) for 2 weeks before and 2 weeks after your filler treatment to reduce infection risk.
Arrive with a clean, makeup-free face on the day of your appointment.
Eat a small meal or snack beforehand to prevent lightheadedness or nausea.
Additional Recommendations
Bruising and swellingare most noticeable within the first 24–48 hours after your dermal filler injections.
Consider scheduling your treatment at least a few days before any special events.
Refrain from exercise or strenuous activity for the remainder of the day following your injections.
Avoid travel plans outside of the state for 5 days after treatment, so we can promptly address any symptoms or concerns if they arise.
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Dermal Filler Aftercare Instructions
Thank you for trusting us with your aesthetic care. Please follow these aftercare guidelines carefully to ensure optimal results and minimize complications.
Comfort & Healing
You may take Tylenol® (acetaminophen) every 4–6 hours after treatment to ease discomfort (unless otherwise directed by your clinician).
Swelling is normal and will subside naturally over time
Arnica or bromelain supplements (found naturally in pineapple) may help reduce bruising and swelling.
Sleep on your back to prevent pressure on treated areas.
Activity & Lifestyle
Avoid travel outside the state for 5 days after treatment so we can address any post-procedure concerns if needed.
Avoid makeup application and swimming in the ocean for 24 hours to prevent infection.
Limit sun and heat exposure, including UV lamps, saunas, and hot yoga, for 24 hours after treatment.
Alcohol can also temporarily increase redness and swelling.
Avoid strenuous exercise for 24 hours to reduce the risk of increased blood flow or product migration.
Avoid dental procedures (including cleanings) for 2 weeks following filler treatment.
Medication Precautions
For 5 days post-treatment, avoid:
Aspirin (unless medically necessary)
NSAIDs such as Ibuprofen, Advil®, Motrin®, Nuprin®, Aleve®, Celebrex®Fish oil, Ginkgo Biloba, St. John’s Wort, and high doses of Vitamin E
These can increase your risk of bleeding or bruising at injection sites.
Area-Specific Notes
Lip Filler: Avoid drinking from a straw, smoking, vaping, or kissing rigorously for several days to prevent altering the filler’s placement.
Chin Filler: Mild tenderness when the area is bumped is normal and may persist for 1–2 months.
Normal Reactions
Common side effects include redness, swelling, lumps, bruising, or tenderness.
These typically resolve within a few days to 2 weeks.
Contact us immediately if you experience:
Persistent pain unrelieved by Tylenol®
Increasing bruising or bruising that spreads to unrelated areas (e.g., treated lips but bruising on chin)
Skin paleness, coolness, or discoloration around the treated site
Follow-Up & Ongoing CareWe recommend a follow-up visit in 2 weeks to ensure your results are healing beautifully and symmetrically.
Always apply broad-spectrum mineral such sunscreen as EltaMD daily to protect your skin and prolong your results.
Your satisfaction and safety are our priority — please contact us immediately with any concerns.
Face and Body Contouring Treatment Care
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• Foods and Medications to Avoid. Two weeks before your appointment try to avoid nuts, seeds, fish, fish oil, NSAIDs, supplements, and anything that prolongs bleeding. This will significantly help minimize bruising, bleeding and swelling.
• Arnica Supplements. You can start Arnica supplements a week prior to injection to help with post injection bruises. Arnica helps to speed up the fading away of bruises.
• Medications and Supplements. Talk to your primary healthcare provider if you are on blood thinners you may need to stop these a few days to weeks prior to your treatment. Speak to your prescribing physician regarding safety of stopping and restarting these medications. We do not recommend patients that are on life saving medications stop their medications in order to have any cosmetic procedures performed. -
• Eat and drink before your treatment. It is not uncommon for patients to “pass-out” or get lightheaded during their injection. Having a good blood sugar and being hydrated will make it less likely that you will feel queasy during your treatment.
• Men with beards should shave area under the chin. Men who have a beard should shave the part of their beard under their chin. A beard will interfere with the doctor’s ability to make markings on the skin for the injection sites, potentially displace the trajectory of the injection needle and distort the true appearance of the jaw line.
• Come with a clean face and minimize make up and lotion the area that will be treated.
• Reserve your next appointment. Fat dissolver injections are typically repeated in 4-6 weeks following the initial session.
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After your fat dissolver injection.
The first few days after your treatment the treated area will be very swollen; it will take weeks for results to become noticeable. We recommend not evaluating results until completing your course of treatment.
It is normal to have swelling, pinpoint bleeding and bruising underneath the chin. Due to the numbing cream applied for your procedure you will still feel numb for another 1-2 hours after your procedure. Please be sure to follow our post procedure instructions in order to minimize swelling, bruising and decrease downtime. The initial results from the fat dissolver can been seen in just one to two sessions. Although more than one treatment is required for optimal benefits, once the full series has been completed, no further maintenance is needed. The fatty tissue, once eliminated, will not return. This means that the results from the fat dissolver treatment are permanent.
• Ice Area. Use a small bag of frozen peas in a sandwich bag or crushed ice to gently ice the area. No heavy ice bags. Ice for 20 minutes on and 20 minutes off. Continue the icing for 48 hours if possible.
• Minimize Strenuous Exercise: We recommend no strenuous exercise for 48 hours in order to reduce swelling and bruising. • Do not manipulate or massage or rub or poke the area. Do not massage or manipulate the treated area which will be quite swollen after the fat dissolver injections. You may shower and wash your face with gentle cleanser. Avoid facials, chemical peels or laser treatments on the treated area for 14 days.
• Make up including concealer can be used to cover up any bruises 24 hours after injections.
• Take Arnica supplements. Arnica supplements can quickly help reduce appearance of bruises.
• Sleep with head propped up on 2-3 pillows. For the first 2-3 days sleeping with your head propped up on 2-3 pillows can help minimize swelling under the chin area. Swelling should begin to improve after about 48 hours to 1-2 weeks.
• Pineapples help to minimize swelling and brusing after injections. Pineapples have natural anti-inflammatory properties to help with healing.
• Take Tylenol for Pain: It is normal to experience some pain and sensitivity in the area of the injections. Most patients find that Tylenol can help relieve this post-injection pain. Avoid NSAIDs such as Motrin and ibuprofen as these can make swelling and bruising worse.
In the first 24 hours following treatment, limit exposure to sunlight or UV lamps. Extensive sun or heat exposure and alcoholic beverages may cause a temporary increase in redness, bruising or swelling at the injection sites.
Avoid touching, massaging or manipulating the treated areas. The treated areas can be washed with a gentle and unscented cleanser.
Your satisfaction is important to us! We would like you to return to the salon in 2 weeks for a follow up for the best result.
Remember to wear sunscreen daily.
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• Bruising. Bruises may last 1-2 weeks. Bruises can show up several days after the treatment.
• Swelling, Inflammation and Redness. Swelling will be the worst the first two days and is mostly due to localized inflammation. Initial swelling can take up to 2 weeks to settle. Sleeping propped up and icing can minimize this side effect. Avoid exercise first 48 hours or longer as swelling increases when working out.
• Asymmetry. Asymmetry initially is mostly secondary to swelling and any bruises that have formed under the skin. After a few weeks swelling will start to diminish and the fat melting results will begin to be noticed.
• Localized “Hardening” Under the Skin. As the fat starts to melt it can form hardened nodules. Your healthcare provider will advise you when to start massaging the nodules to facilitate them dissolving quicker
WHEN TO CONTACT US
• Uneven smile or facial muscle weakness
• Trouble swallowing
• Injection site ulceration or tissue cell-death
• Hair loss (alopecia) in treated area
Chemical Peel Treatment Care
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• Inform the provider if you have taken Accutane (oral acne medication) in the past year.
• Stop application of all topical retinoids, or Vitamin A derivative products.
• Stop the use of all Glycolic or chemical exfoliants.
• Stop use of all mechanical exfoliants, such as scrubs.
• Avoid facial waxing.
• Avoid sun exposure without a sunscreen of SPF 30 or greater. Avoid tanning beds.
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Expect your skin to appear pink and brown for a few days after treatment.
• Your skin may be sensitive for a few days to 2 weeks after treatment.
• Avoid direct sunlight on the treated area and use a broad spectrum mineral UVA/UVB sunscreen of SPF 30 or greater for 1-2 weeks after your treatment. Wear a large brim hat to protect your skin.
• Keep your skin well hydrated with a protective moisturizer, EltaMD Skin Recovery is recommended.
• Avoid using abrasive products such as scrubs or exfoliating sponges for 7 -10 days.
• Avoid products such as retinols and glycolic acid 10 days.
• Vitamin C Serums may be resumed after 48 hours.
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• Peeling is expected for on day 3-10
• Mild Itching, irritation, redness, increased sensitivity.
• Crusting is rare; however if it does occur, a thin layer of over-the-counter antibiotic ointment such as Polysporin® can be applied 2-3 times a day for 3 days. Please call us if you experience this uncommon reaction.
Microneedling Treatment Care
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Before Microneedling Treatment
To ensure your safety, comfort, and optimal results, please follow these pre-treatment guidelines carefully.
Medication & Skin Treatment Restrictions
No use of Accutane/Isotretinoin within the last 6 months.
Avoid retinoids, topical antibiotics, exfoliating products, hydroquinone, benzoyl peroxide, and any sunburn for at least 72 hours (3 days) prior to your appointment.
Avoid IPL or laser procedures within 7 days of your microneedling treatment.
Avoid waxing, depilatory creams (e.g., Nair), or electrolysis treatments within 7 days of your appointment.
Day-of Guidelines
Do not shave the treatment area on the day of your appointment — please shave at least 24 hours prior.
Avoid any significant changes to your skin, including active sunburn, skin breakdown, or extreme dryness.
Arrive with clean skin — free of makeup, lotion, oil, deodorant, powder, or any other products.
Lifestyle & Preparation
Stay well-hydrated and eat a light meal or snack before your appointment to avoid lightheadedness.
Avoid alcohol for 24 hours prior to your procedure.
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Day of Microneedling Treatment
To ensure a safe and effective procedure, please follow these guidelines on the day of your appointment:
Skin Preparation
Do not apply lotions, creams, or makeup to the area to be treated.
Arrive with clean, washed skin free of any products.
Health & Medications
Inform your provider of any changes in your medical history since your last visit.
Disclose all medications, supplements, or recent treatments you are taking, including blood thinners or other prescriptions.
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Microneedling Aftercare Instructions
Your skin will be more sensitive following microneedling as it begins its natural repair and collagen renewal process. Please follow these aftercare guidelines carefully to promote optimal healing and radiant results.
Avoid Sun Exposure
Protect your skin from direct sunlight for 7–10 days after treatment.
Always apply a broad-spectrum sunscreen (SPF 30 or higher) daily, even when indoors or on cloudy days.
Avoid tanning beds and prolonged outdoor exposure during this period.
Gentle Cleansing
Don’t use anything for first 24 hours. Then for the next 2 days, cleanse the treated area using only lukewarm water and a gentle, non-exfoliating cleanser.
Avoid rubbing, scrubbing, or using washcloths.
After 3–5 days, you may gently exfoliate if needed to help remove flaking skin.
Hydration is Key
Drink plenty of water to support the skin’s natural healing and collagen production.
Apply a hydrating moisturizer 2–3 times daily to prevent dryness or tightness.
Consider using products with hyaluronic acid for added hydration and soothing.
Avoid Harsh Products
Refrain from using alcohol-based toners, exfoliating scrubs, acids (AHAs/BHAs), or retinol for 10–14 days post-treatment.
Avoid any fragrance-containing products until your skin feels fully recovered.
Use only gentle, hydrating products recommended by your provider during the healing period.
Protect Your Skin
Avoid sweating, saunas, steam rooms, and swimming pools for 2–3 days to minimize irritation or infection risk.
Avoid wearing makeup for at least 24 hours after treatment to allow the skin to breathe and recover. When starting to wear makeup again, make sure brushes are clean.
Monitor for Any Concerns
Contact Vera Medical Aesthetics immediately if you notice:
Excessive pain or swelling
Increasing redness, warmth, or discharge
Any signs of infection
PRFM Treatment Care
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Before PRFM (Platelet-Rich Fibrin Matrix) Treatment
To ensure the best results and minimize complications, please follow these guidelines for at least 1 week prior to your PRFM treatment:
Medications & Supplements
Avoid retinoids such as Retin-A, Tretinoin, or any retinol-containing products.
Avoid NSAIDs including Ibuprofen, Motrin, Aleve, Naprosyn, and Aspirin.
Tylenol® (acetaminophen) is allowed if needed.
Avoid certain nutritional supplements and anti-inflammatory agents such as Ginkgo, Garlic, Flax Oil, Curcumin, and similar products.
Lifestyle Considerations
Avoid alcohol and cigarettes for at least one week prior to treatment.
Hydrate well in the days leading up to your appointment.
Continue multivitamins to support overall wellness and optimal blood draw.
Additional Tips
Plan to arrive well-rested for your procedure.
Inform your provider of any changes in your medical history or medications since your last visit.
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Day of PRFM (Platelet-Rich Fibrin Matrix) Treatment
To ensure a safe, comfortable, and effective procedure, please follow these guidelines on the day of your appointment:
Procedure Overview
Blood will be drawn and processed in a centrifuge to prepare your PRFM.
Local anesthetic will be applied to minimize discomfort during the treatment.
PRFM will be injected into the areas of concern, addressing your targeted treatment goals.
Hydration & Comfort
Stay well-hydrated before your appointment to support optimal blood draw and healing.
Wear comfortable clothing and plan to relax during the procedure.
Normal Reactions
Mild redness, swelling, and bruising may occur at the injection sites.
These reactions are normal and typically resolve within a 1-2 weeks.
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PRFM (Platelet-Rich Fibrin Matrix) Aftercare
Following your PRFM treatment, proper care is essential to optimize results and minimize complications.
Normal Reactions
Mild inflammation, swelling, and redness are expected.
Bruising may occur in certain areas and typically resolves within a few days.
Topical Care
Apply Arnica gel or cream to treated areas:
Twice daily for the first 3 days
Once daily for the following week
Sleeping & Positioning
Sleep on an incline to help reduce swelling.
Avoid sleeping on your belly or putting pressure on treated areas.
Restrictions for 1 Week
Topical products: Avoid Retin-A, Tretinoin, or any retinol-containing products.
Medications: Avoid NSAIDs including Ibuprofen, Motrin, Aleve, Naprosyn, and Aspirin — Tylenol® is allowed for pain relief.
Supplements: Avoid Gingko, Garlic, Vitamin Flax Oil, Curcumin, and other anti-inflammatory nutrients.
Substances: Avoid alcohol and cigarettes.
Radiesse Biostimulatory Treatment Care
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Before Radiesse® Treatment
To ensure optimal results and minimize bruising or swelling, please follow these guidelines prior to your Radiesse appointment:
Lifestyle & Diet
Avoid alcohol, especially red wine, for 24 hours prior to your treatment, as it may increase bruising.
Consider eating pineapples or taking bromelain supplements for several days leading up to your treatment to help reduce swelling and bruising.
Skin Preparation
Arrive with a clean face, free of makeup, lotions, oils, or other products.
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Radiesse® Aftercare Instructions
Thank you for choosing Vera Medical Aesthetics. Please follow these guidelines to ensure a smooth recovery and the best possible results from your Radiesse treatment.
Normal Reactions
Mild redness at the injection site is normal and typically resolves within 3 days.
Swelling is very common with Radiesse and can last up to 2 weeks.
Bruising may occur and will subside as your skin heals.
Comfort & Healing
Apply a cool compress or ice pack as needed to help reduce swelling.
Eating pineapple, or taking arnica or bromelain supplements, and applying topical witch hazel may help reduce bruising and swelling.
Avoid touching or rubbing the treated area for 6 hours after treatment.
After 6 hours, you may gently cleanse the area with mild soap and water.
Activity & Lifestyle
Until redness and swelling have resolved, please avoid:
Intense heat exposure (sunlamps or sunbathing)
Saunas or hot tubs for at least 72 hours
Extensive sun exposure
Alcohol consumption for 24 hours
Strenuous exercise for 48 hours, as it can increase swelling and water retention
Makeup for 24 hours to reduce infection risk
Avoid travel for 5 days after treatment so we can address any concerns promptly if they arise.
When to Contact Us
Call Vera Medical Aesthetics immediately if you experience any of the following:
Discolored blotches in areas not injected
Paleness or whiteness at the injection site
The area becomes red, hot to the touch, or painful
Severe or increasing pain not relieved by Tylenol®
Medical Weight Management Care
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Consult Your Healthcare Provider
Discuss your full medical history, including kidney, pancreas, or thyroid issues, family history of thyroid cancer, and conditions like diabetic retinopathy or gastroparesis.
Please inform us if you have taken semiglutide (Ozempic, Wegovy) in the past
Share Your Medication List
Please let us know all prescriptions, over-the-counter medications, vitamins, and supplements you are currently taking
Pregnancy & Breastfeeding
Discuss risks and benefits if you are pregnant, breastfeeding, or planning pregnancy.
Medication Handling & Safety
Prepare a safety sharps bin at home for needle disposal, out of reach of children.Bring a cooler bag with an ice pack to keep the medication cold for transport.
Bloodwork
Here’s a polished version of your message you can use for patient communication:Lab Work
Please bring your most recent lab test results from your primary care provider if they were done within the last 3–6 months.
If you have not had recent bloodwork, we will provide you with a lab order slip to complete your labs at a nearby facility. This helps us ensure your safety and establish a baseline before starting or continuing tirzepatide treatment.
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Maintain a Balanced Diet: Focus on nutrient-dense foods like lean proteins, whole grains, fruits, and vegetables. Limit processed foods, sugary snacks, and high-fat items.
Stay Hydrated: Drink plenty of water throughout the day to support overall health and potentially manage side effects like nausea or constipation. Aim for at least 8-10 glasses (64 ounces) daily.
Avoid constipation by consuming food high in fiber such as prunes, papaya and vegetables.
Engage in Regular Physical Activity: Aim for at least 150 minutes of moderate-intensity aerobic exercise per week, combined with strength training two or more days a week.
Monitor for Side Effects: Be aware of potential side effects, such as nausea, diarrhea, and constipation, which may be more pronounced when starting or increasing your dose.
Manage Side Effects:
Nausea: Eat smaller, more frequent meals, avoid greasy or spicy foods, stay hydrated, and consider ginger or peppermint.
Constipation: Increase fiber intake gradually, drink plenty of fluids, and exercise regularly.
Communicate with Your Healthcare Provider: Schedule regular check-ups to monitor your progress, discuss any concerns, and adjust your treatment plan as needed.
Report Any Severe or Persistent Side Effects: If you experience severe or persistent nausea, vomiting, or other concerning symptoms, contact your healthcare provider immediately.
Store Tirzepatide Properly: Store medication in the refrigerator at 36°F to 46°F (2°C to 8°C), and protect them from light. Avoid freezing them.
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Maintain Sustainable Habits: Continue with the healthy lifestyle changes you adopted during treatment, including a balanced diet and regular exercise.
Transition Gradually (if applicable): Work with your healthcare professional to adjust or phase out the medication as appropriate.
Continue Monitoring: Regularly track your weight and other health markers to maintain long-term success.
Seek Ongoing Support: Consider joining support groups or seeking counseling to help navigate post-treatment challenges.
Its common side effects include nausea, diarrhea, and heartburn. Many people experience these side effects when they first start taking tirzepatide or after their dosage is increased.
For many people, these side effects are usually mild and get better as they continue to take the medication. But in the meantime, there are at-home strategies to help ease symptoms. Below are some tips to help you manage common tirzepatide side effects.
| Side Effect | Management Strategies | Things to Avoid |
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| Nausea |
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| Diarrhea |
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| Heartburn |
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Contact your healthcare provider if you have side effects that don’t improve or become severe.It’s best to store Tirzepatide in the fridge. It’s ideal to store them in the refrigerator at 36°F to 46°F.
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