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Monitor for adverse effects: gastrointestinal issues, risk for pancreatitis, hypoglycemia (especially if combined with other glucose-lowering agents), gallbladder issues

Tapering approach: Reduce by 25-50% every 2-3 months while tracking weight stability

Weight loss also typically increases sex hormone-binding globulin (SHBG) levels as insulin sensitivity improves, which affects the interpretation of total versus free testosterone measurements

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These therapies sit within our broader wellness center peptide therapy program, where each protocol is matched to your specific health picture rather than a generic template

Meat, poultry, fish, seafood, eggs, and dairy products contain sufficient B12 to avoid deficiency