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Run Tirzepatide on its own titration schedule (2.5 5 7.5 10 mg weekly), and after week 4, layer Cagrilintide starting at 0.3 mg weekly, titrating every 4 weeks to a 2.4 mg ceiling

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In addition, nongenetic variables of body mass index and duration of implant use also impacted estrogen levels

SIDE EFFECTS: DSIP is well tolerated and has minimal side effects