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Ghrelin (the hunger hormone) rises and stays elevated

This model ensures your dose can increase without financial stress, and your commitment tier remains the same

[ [PMID: 8187841] [182] Piovesan, P

If a patient has already been on a higher dose of semaglutide, I may start tirzepatide at a slightly higher dose, as their body is already accustomed to medications in the incretin class and is therefore less likely to experience adverse effects