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I use relatively low doses

No, compounded tirzepatide with B12 differs fundamentally from FDA-approved products

#Hypertriglyceridemia-induced AP: IV insulin infusion (0.1 U/kg/h) + dextrose to lower TG levels

[585-587] Additionally, hypertension in CKD patients is often associated with abnormal blood pressure rhythms, such as elevated nighttime blood pressure, which correlates with poor outcomes

The dosage may vary as the treatment progresses, often starting at a low dose to adjust for tolerability
