is sublingual tirzepatide as effective as injection Oral vs Injection: Pros, Cons & Side Effects Oral Tirzepatide: What You Need

Don't get me wrong, forgetting to eat is nothing new, but the sick-from-not-eating feeling tends to hit much later than it used to

If gastrointestinal symptoms persist or worsen despite these measures, your prescriber may recommend adjusting your medication dose, slowing the titration schedule, temporarily reducing the dose, considering antiemetics if appropriate, or exploring alternative weight management strategies

Meier JJ, Holst JJ, Schmidt WE, Nauck MA

Nat Rev Endocrinol 5: 553-558

For emergent surgery, consider the modified oral intake and variable absorption and focus on IV glucose monitoring and insulin protocols instead of GLP-1 effects