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If you normally absorb 20% of your oral dose and then one day absorb 40% (perhaps due to oral pH changes, a small cut under the tongue, or a different holding technique), you effectively received double your usual dose
In another study , people taking the highest dosage of Zepbound lost 20.9% , on average, in about the same time frame (72 weeks)
Cost varies by dose as you titrate up
Erdogdu O, Nathanson D, Sjholm A, Nystrm T, Zhang Q: Exendin-4 stimulates proliferation of human coronary artery endothelial cells through eNOS-, PKA- and PI3K/Akt-dependent pathways and requires GLP-1 receptor
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