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This article covers the exact metabolic shifts tirzepatide marathon runners experience, the fueling adjustments required to prevent performance degradation, and the clinical data on endurance exercise outcomes in GLP-1 patients from trials most sports medicine practitioners haven't reviewed

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Managing side effects during dose escalation Side effects are not a sign that something is wrong

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Once a patient reaches an effective, well-tolerated dose, treatment shifts into a maintenance phase, the same weekly dose continued over the following months, with periodic follow-ups and labs to confirm things are still on track

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