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After 6 months, those taking the semaglutide had average blood sugar reductions of 0.6% to 1.1%, with bodyweight reduction of around 5 pounds for the 14-mg dose

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At minimum, check the following before starting and at the midpoint of each cycle: IGF-1 levels: Confirms GH secretagogues are working

Serum folate and chronic fatigue syndrome

Dehydration can concentrate thyroid hormone in the blood, artificially altering lab values, and can worsen the thirst that tirzepatide sometimes causes