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The publication, A Novel, Widespread Impurity in Mass-Compounded Tirzepatide/B12 Products, is available here
Diabetologia 65 , 12511261 (2022)
I have completed 3 of the 4 first month injections and have lost 6 pounds
Add less water and the solution is more concentrated, which suits larger doses
The article says the observational data come from patients with both diabetes and RA who were already on conventional DMARDs, with no control group, and that any improvement is entangled with weight loss and better glycemic control
Your metabolic history can influence how your body responds
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