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Anderson RA, Evans LM, Ellis GR, Khan N, Morris K, Jackson SK, Rees A, Lewis MJ, Frenneaux MP: Prolonged deterioration of endothelial dysfunction in response to postprandial lipaemia is attenuated by vitamin C in Type 2 diabetes

This is the number one question we get asked, so its important to be clear here: all of the GLP-1 agonist medications are intended for long-term, continuous use similar to medications used to manage other heart disease risk factors like hypertension or high cholesterol

Most GI symptoms are transient and resolve or become manageable within the first 8-16 weeks of treatment at a stable dose

Avoid screens for 30 minutes before bed

Keep it refrigerated until you are confident the tirzepatide transition is going well (usually 4 to 8 weeks)

Patients may access compounded semaglutide through our telehealth service when a licensed clinician determines it is appropriate