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Hypoglycaemia risk is increased when Mounjaro is used alongside insulin or sulphonylureas, and dose reductions of these medications may be needed when starting tirzepatide

Lancet (2018) 392(10148):63749

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Never discontinue semaglutide abruptly without medical guidance, particularly if using it for diabetes management, as this could lead to deterioration in glycemic control

~ AlphaMD There is a specific kind of clarity that hits when you train fasted on TRT - a sharpness, a readiness, an almost electric focus that makes you wonder if you have been doing it wrong every time you ate beforehand