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Compounded tirzepatide preparation Compounded tirzepatide typically comes as a lyophilized (freeze-dried) powder or as a pre-mixed liquid in a vial
A few things worth flagging for clinical practice: GI effects (nausea, diarrhea, vomiting) are dose-related and largely manageable with slow titration starting at 2 mg rather than jumping to 4 mg helps
NICE has not yet issued guidance on either agent, as appraisal processes are typically initiated only after regulatory approval, although scoping can occur earlier
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