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We may titrate your dose back down to a tolerable level that still allows weight loss and try to increase more slowly

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doi:10.5114/ada.2016.61600 Karakula-Juchnowicz H, Szachta P, Opolska A, et al

Although the proportions of patients with high cholesterol and smoking history were similar across BMI categories, the proportion of patients with high-sensitivity C-reactive protein levels increased with higher BMI categories

However, as of March 2025, the FDA has prohibited compounding pharmacies from dispensing and distributing compounded tirzepatide now that the Zepbound shortage is over