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Both options are designed to introduce tirzepatide's dual GIP and GLP-1 activity gradually, at doses well below standard therapeutic thresholds, so your body can adapt at its own pace

However, you might have a special patientlike a diabetic who's on opioid pain medicines or also has Parkinsons diseasethat might have two or three reasons for having gastroparesis, which would obviously put them more at risk

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The article also flags patients already achieving good glycemic control on tirzepatide alone and those stacking multiple insulin-sensitizing agents

NHS 111 can provide advice when your GP is unavailable