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One practical consideration: tirzepatide-induced nausea peaks during the first 48 hours after each dose escalation

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After an initial loading phase of six injections over two weeks (or more frequently if neurological symptoms are present), maintenance injections are given every two to three months for life to prevent deficiency recurrence

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The new guidelines from the British Committee for Standards in Haematology state that you should treat based on symptoms alone

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Although these therapies are often discussed together, they work through very different biological pathways

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