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Step 5: Engage in structured monitoring for side effects during the first 48 hours of the new medication

Protocol 1: Standard weight management Goal: Optimize fat loss while minimizing lean mass loss during tirzepatide therapy

Not self-directed

Stage IIIB: The tumor may be any size and may have spread to the edge of the eyelid where the lashes are, to the connective tissue in the eyelid, or to the full thickness of the eyelid, or to the eye, eye socket, sinuses, tear ducts, or brain, or to the tissues that support the eye

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The difference between a supervised clinic protocol and a self-directed one is not just about the numbers