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Some protocols recommend waiting longer, up to 2 weeks, particularly for patients transitioning from high tirzepatide doses (12.5 mg or 15 mg) to reduce the overlap of active drug and minimize initial side effects

Weight loss accelerates, often to 2 to 3 pounds per week during the initial weeks at each new dose

Physical activity postpartum: A systematic review and quality appraisal of clinical guidelines

If these are part of your routine, schedule them for times when your stomach is as empty as possible, ideally first thing in the morning before eating or at least 3 hours after a meal

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