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You can administer both compounds at caloric maintenance or surplus, but the metabolic shifts will be far less pronounced than in deficit states

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A frozen and thawed vial of tirzepatide should be discarded even if it has not reached its expiration date

~ Alpha MD Injections can cause some anxiety if you've never done them before, but it's quite easy once you've done it a few times

The dosing and the duration shift with the operation