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According to Couture Med Spa, citing a New England Journal of Medicine trial, tirzepatide users can lose up to 15% of their body weight over 18 months, a result the practice attributes to the peptide's dual action on GIP and GLP-1 receptors

Behnke and his colleagues also suggest using a dishwasher with a sanitisation cycle could be the most effective approach

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The 2025 Prohibited List and WADAs explanatory note on the modifications can be found here