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This may be due to the fact that it is very expensive, administered as an injection, and must be stored in a refrigerator

Tirzepatide causes gastrointestinal symptoms including nausea, vomiting, diarrhea, and constipation in a substantial percentage of users, particularly during dose escalation phases

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To strengthen the effects of Ipamorelin dose, some medical professionals increase to take up to 600 mcg per day in three divided Ipamorelin doses (200 mcg each)