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Both medications undergo hepatic processing, but through different enzymatic pathwaystirzepatide through DPP-4 inactivation and renal clearance, while tamoxifen relies primarily on CYP3A4 metabolism

Between-group comparisons were performed using appropriate parametric or non-parametric tests and multivariable models

"Restarted 10 days post-op at 5 mg - nausea came back a bit but manageable." - u/Gioia_mia Some surgeons recommend waiting a full two weeks, particularly after abdominal procedures where digestion takes longer to normalise

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