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[22] [23] Baseline assessment should be considered before initiating tirzepatide in high-risk patients, including those over 65 years of age, individuals with pre-existing gastrointestinal disorders, patients on concurrent metformin or acid-suppressing medications, and those following restrictive diets

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This maintenance phase begins only after the initial deficiency has been corrected and the patients blood markers have stabilized within the normal range

Working with a qualified healthcare provider who understands peptide therapy is strongly recommended for proper dosing, monitoring, and safety

These studies assess parameters like bone density, nerve regeneration markers, and inflammatory cell infiltration