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For needles and used pens, use a prescribed sharps bin and follow your local council or NHS arrangements for sharps collection or return
Clinical data from STEP and SURMOUNT trials show tirzepatide users achieved approximately 20-22% weight loss at highest doses, compared to semaglutide's 15-17% at comparable timepoints
Joint pain, headaches, water retention, and jaw/hand growth at high doses
There are solid reasons to sit at a dose longer than four weeks or pause the climb entirely, and none of them mean the medication is failing you
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