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Always follow your regular dosing schedule unless your doctor tells you otherwise
In animal studies, semaglutide caused thyroid tumors, including thyroid cancer
The Pharmaceutical Journal states explicitly: "There is no validated dose equivalence between the two agents owing to their differing receptor profiles." Even patients who were stable on semaglutide 2.4mg (Wegovy maximum) must begin tirzepatide at 2.5mg once weekly and titrate per the standard schedule
Monitoring of volume status and renal function is essential
| doi:10.1007/s10545-007-0666-z Constantin-Teodosiu D, Carlin JI, Cederblad G, Harris RC, Hultman E: Acetyl group accumulation and pyruvate dehydrogenase activity in human muscle during incremental exercise (1991) Acta Physiol Scand | doi:10.1111/j.1748-1716.1991.tb09247.x Diamanti K, Cavalli M, Pan G, et al.: Intra- and inter-individual metabolic profiling highlights carnitine and lysophosphatidylcholine pathways as key molecular defects in type 2 diabetes
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