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The patient participated in a comprehensive weight management program (behavioral modification, diet, activity) with follow-up for at least 6 months, and

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The blend typically costs $20-80 more per month than plain compounded tirzepatide

Beyond the contraindication question, hypothyroidism is a common and frequently underdiagnosed condition that causes weight gain, fatigue, and metabolic slowdown symptoms that may be mistakenly attributed to poor GLP-1 response if thyroid dysfunction is not identified and treated