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Please remember that the decision to prescribe tirzepatide is at the discretion of your health care provider

Most patients find success at a low dose and choose to remain there for more than a 4-week span

it addresses both the cellular trigger (oxidative stress in the mast cell) and the systemic clearance mechanism (hepatic detoxification)

For symptoms potentially related to POTS or orthostatic intolerance , such as dizziness upon standing with palpitations, initially try conservative measures: rise slowly from sitting or lying positions, ensure adequate fluid intake (2-3 litres daily unless contraindicated), increase salt intake if appropriate (but only after consulting your doctor if you have hypertension, heart failure or kidney disease), and wear compression stockings

Listen to your body: If you feel faint, dizzy, or unwell, stop fasting and consult your provider