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Your clinician should talk you through potential next steps, which may be menopause care, joint evaluation, a gastrointestinal workup, physical therapy, or other forms of evidence-backed treatment
This difference may relate to the dual GIP/GLP-1 mechanism of tirzepatide versus the GLP-1-only action of semaglutide, though this is speculative
If your numbers are stable or improving, that is strong evidence your body is handling the compound well
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