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Weeks Tirzepatide dose Notes 1–4 2.5 mg Initiation only (not for glucose/weight effect) 5–8 5 mg First maintenance option 9–12 7.5 mg Increase as tolerated 13–16 10 mg Maintenance option 17–20 12.5 mg Increase as tolerated 21+ 15 mg (max) Maximum maintenance dose These steps follow the Mounjaro FDA label and Zepbound FDA label

Citric Acid

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Andrew Campbell was the one who told me, "Hey, Pejman, these tests you can't rely on in these kids." [30:41] A lot of colleagues also use organic acid tests

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