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Spray tan is a thin mist that is sprayed onto skin and uses specialist equipment, so is usually done by a technician

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In the SURMOUNT-1 study, a phase 3 clinical trial in obese patients, randomized participants in a 1:1:1:1 ratio to tirzepatide (5, 10, 15 mg) or placebo over 72 weeks, significant weight reductions were observed at 72 weeks: 15.0% for 5 mg, 19.5% for 10 mg, 20.9% for 15 mg, compared to 3.1% for placebo [18]

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Shaking the vial to speed up dissolution is the most common, and its also the one most likely to degrade the peptide rather than simply mix it