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What side effects get worse if I combine fasting with tirzepatide

Joel Habener from Mass General Hospital/ Harvard Medical School

HOMA-IR has been improved as soon as 5 days after VSG (60) and remains at the same level of improvement as far out as 2 years postoperatively with RYGB and VSG (61)

Well usually drop back a dose or slow the escalation. Titrate slowly

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