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Adjunct Treatments The physical therapy exercises can be combined with adjunct treatments, but unfortunately there is no strong evidence that proves these treatments provide long-term benefits.34 Icing is a good option for pain management and to manage flare-ups, but it didnt show any benefits in treating tendonitis35 and it will temporarily decrease tendon flexibility.36 Wearing a patellar tendon strap can lead to a short-term pain reduction in patients with patellar tendonitis.37 It can also improve body awareness,38 jumping mechanics,39 and it may contribute to improved patellar tracking40

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Do not shake the vial to force the process

Clinical Update 8/11/2023 Kombucha for Diabetes

Aggressive simultaneous protocol (higher risk) Simultaneous start (both from week 1): Tirzepatide standard titration: Same as conservative: 2.5mg 12.5mg over 16 weeks Cagrilintide standard titration (parallel): Weeks 1-4: 0.6mg weekly Weeks 5-8: 1.2mg weekly Weeks 9-12: 1.8mg weekly Week 13+: 2.4mg weekly Aggressive dosing table: Why this is risky: Compounding side effects from start Very difficult to tolerate High dropout risk Unclear if any additional benefit Both hitting stomach simultaneously Potential maximum weight loss: 20-30% body weight (theoretical) Example: 240 lbs 168-192 lbs (48-72 lbs lost) But tolerability extremely questionable Who might attempt: Exceptional GI tolerance Prior success with GLP-1s without nausea Closely monitored by physician Willing to accept high side effect risk Can afford $1,200-2,400/month Understands experimental nature Lower cagrilintide doses with tirzepatide Moderate approach: Tirzepatide: Standard titration to 10-15mg Cagrilintide: Maximum 1.2-1.8mg (lower than standard 2.4mg) Rationale: Tirzepatide doing heavy lifting already Cagrilintide just adds amylin pathway Don't need maximum cagrilintide dose Better tolerability Significantly lower cost Moderate dosing comparison: Verdict: Lower cagrilintide doses (0.6-1.2mg) might be tolerable but benefit questionable