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Case study I am 58, obese (BMI 35), with pre-diabetes (borderline Type 2), hypothyroidism (on 50 microg thyroxine), high cholesterol, and multiple sclerosis

Many users reduce or eliminate other diabetes medications as their metabolic health improves on tirzepatide

The result is often worsened nausea, heartburn, acid reflux, and abdominal pain that lasts much longer than it would without the medication

This finding underscores why maintenance dosing matters and why microdosing might serve as a viable long-term strategy for people who have achieved their weight loss goals but want to prevent regain without the side effects and costs of high-dose therapy

Also prepare a clean, flat workspace