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If you are experiencing diminished results from tirzepatide and everything else in your protocol is consistent, check your vial dates first

Ozempic should be clear, colorless, and free of any floating particles

They require functional beta cells and are only approved for type 2 diabetes

Generoso, G., & Bittencourt, M

The simplest schedule most people can stick to Option A (most common): morning levothyroxine Option B: bedtime levothyroxine (if mornings are chaotic) Some people do better taking levothyroxine at bedtime, as long as its well separated from food (for example, several hours after dinner)

Supplementary material The Supplementary Material for this article can be found online at: References 1 AletahaDNeogiTSilmanAJFunovitsJFelsonDTBinghamCO3rdet al