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Dosing follows the standard compounded tirzepatide dosage progression: start at 2.5 mg per week for the first four weeks, then titrate up to 5 mg, 7.5 mg, 10 mg, 12.5 mg, and eventually 15 mg depending on tolerance and clinical response

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They improve after a few weeks

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Factors to consider include the severity of maternal diabetes or obesity, availability of alternative treatments, the infant's age and health status, and whether breastfeeding is exclusive or supplemented with formula

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