The safety profile at doses below those studied in clinical trials is not well characterized, and there is no FDA approval for this indication
MAOIs, in particular, can have dangerous and even life-threatening interactions with foods and other medications, so your treatment provider will probably only prescribe this if absolutely nothing else is an option
Cotticelli MG, Xia S, Lin D, et al
After first use of the OZEMPIC pen, the pen can be stored for 56 days at controlled room temperature 15C to 30C (59F to 86F) or in a refrigerator 2C to 8C (36F to 46F)
Your symptoms very familiar
Injectable tirzepatide reaches peak blood concentrations faster than the oral form, which often means side effects appear slightly earlier but also resolve faster in many cases