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Medical Oversight As with all peptides, it's recommended to work with a healthcare provider, peptide specialist, or longevity clinic especially if you have insulin resistance, metabolic syndrome, or are on medications

[6] [7] Common neurological presentations include: Peripheral neuropathy tingling, numbness, or pins-and-needles sensations (paraesthesia), typically beginning in the feet and hands in a symmetrical 'glove and stocking' distribution Gait disturbances unsteadiness, difficulty walking, or loss of balance due to proprioceptive impairment Cognitive changes memory problems, confusion, difficulty concentrating, or 'brain fog' Mood alterations depression, irritability, or personality changes Weakness muscle weakness or fatigue affecting daily activities Visual disturbances rarely, optic neuropathy causing blurred or reduced vision In more severe cases, patients may develop subacute combined degeneration of the spinal cord , a serious condition affecting the posterior and lateral columns

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Use ketorolac cautiously in patients with any of these conditions or other diseases that predispose to fluid retention (3,5)

Tirzepatide Vials (40 mg, reconstituted to 20 mg/mL) One injection per week