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If heart rate increases are problematic at a particular dose level, discuss with your physician whether maintaining that dose longer before escalation, or potentially remaining at a lower maintenance dose, might be appropriate

NAD+ (nicotinamide adenine dinucleotide) NAD+ is a coenzyme found in every living cell

Transparency with your surgical team is essential

Tirzepatide slows stomach emptying, which complicates anesthesia management and increases aspiration risk during surgery

Progress becomes harder to sustain

It is recommended to start with a low dose of the peptide combination and gradually increase it over time in order to minimize the risk of side effects