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To view or add a comment, sign in Every FPGEE candidate should be able to answer this in seconds: a patient with reduced-EF heart failure is on an ARNI, a beta-blocker, and an SGLT2 inhibitor what completes their guideline-directed therapy
Normally, 10-14% of your scalp hairs are in telogen
Switching from semaglutide to tirzepatide: Wait one week after last semaglutide dose Start tirzepatide at 2.5mg (standard starting dose) Don't assume you can start at higher doses because you're "used to" GLP-1s Monitor for side effects as if starting fresh Switching from tirzepatide to semaglutide: Wait one week after last tirzepatide dose Start semaglutide at 0.5mg (skip the 0.25mg if you tolerated tirzepatide) Can titrate faster than first-time users Usually done to reduce costs, not improve results Why people switch: Semaglutide Tirzepatide: Want more weight loss Tirzepatide Semaglutide: Side effects too intense or cost savings Either direction: Insurance coverage changes Combining with other peptides GLP-1s work well alone but can be strategically stacked
N Engl J Med (2019) 380:34757
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