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If your blood sugar is 14 mmol (270 mg/dl) or above, for long periods, then you should test for ketones

Tirzepatide Mechanism and Potential Libido Impact Tirzepatide works as a dual agonist, activating receptors for two gut hormones: Glucose-dependent Insulinotropic Polypeptide (GIP) and Glucagon-like Peptide-1 (GLP-1)

Incretin hormones: Their role in health and disease. Diabetes, Obesity and Metabolism, 21 (Suppl 1): 521

If you achieve your goals and tolerate the medication well at 1.0mg or 1.7mg, staying at that dose is reasonable

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