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It is important to discuss these risks with a healthcare provider

Handling of these products should be limited to suitably qualified professionals

View source The New England Journal of Medicine 2021 PMID 33567185 Wilding JPH et al

If you're introducing 5-amino-1MQ into a protocol where tirzepatide is already established, wait until GI side effects stabilize (typically 46 weeks at a given tirzepatide dose) before adding the second compound