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This has a cyanide molecule attached to it so this has to be cleaved off and then the body adds a methyl or hydroxyl group to it

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For those new to tirzepatide dosing in units , the escalation typically looks like this: 2.5mg for weeks 1-4, then 5mg for weeks 5-8, then 7.5mg for weeks 9-12, with optional increases to 10mg and 15mg for those who tolerate lower doses well but need additional appetite suppression