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Mistake 1: using the wrong syringe units for your concentration This is the most common and most dangerous mistake
This creates a sustained elevation of GH (and more specifically insulin-like growth factor 1 or IGF-1) rather than a distinct pulse
Additional patient groups requiring careful consideration or alternative treatment options include those with severe gastrointestinal disease, including gastroparesis, as tirzepatide delays gastric emptying
Patients with chronic kidney disease, liver disease, or a history of disordered eating should consult their GP or dietitian before significantly increasing protein intake or tracking
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