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Your doctor may recommend completing your final tirzepatide injection, waiting 1-2 weeks, then initiating semaglutide at the standard introductory 0.25 mg dose

Nausea, constipation and delayed gastric emptying are common to GLP-1 agonists as a class and are not reduced by moving from injection to a sublingual formulation

Eliminate added sugar, replace a snack with fruit, or add bi-weekly strength work

No reported toxicity or adverse reactions from combined use

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