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Start with the standard 0.25 mg escalation and advance cautiously
Before procedures/anesthesia: Current multi-society guidance says most patients can continue GLP-1s, but plans should be individualized with your surgeon/anesthesiologistespecially if you have significant GI symptoms
Tirzepatide is a first-in-class dual incretin receptor agonist a single molecule that activates both the GIP (glucose-dependent insulinotropic polypeptide) and the GLP-1 (glucagon-like peptide-1) receptors, which is why it is often nicknamed a twincretin. [7] By engaging two incretin pathways it enhances glucose-dependent insulin secretion, promotes satiety, and delays gastric emptying, producing large effects on both glycemic control and bodyweight
Your dosage may be modified over time depending on your weight loss and any side effects you may experience
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