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However, further work is required to standardise synthesis approaches, define safety profiles, and validate efficacy in physiologically relevant models to support future clinical translation
In pregnant rabbits given once weekly subcutaneous doses of 0.01, 0.03, or 0.1 mg/kg tirzepatide (0.01-, 0.06-, and 0.2-fold the MRHD) during organogenesis, pharmacologically-mediated effects on the gastrointestinal system resulting in maternal mortality or abortion in a few rabbits occurred at all dose levels

Focus on lean proteins, cooked vegetables, white rice, and low-fiber grains during the first 4-6 weeks of treatment
Most patients benefit from weekly B12 shots initially, then transition to bi-weekly or monthly maintenance based on their response and lab values

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