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Nat Rev Drug Discov 2013;12:730 397CohenDLTownsendRR

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Comments received on or before July 9, 2026, will be provided to the Committee

Hernia surgery is performed to repair a defect in the abdominal wall rather than for cosmetic purposes

The standard approach involves: Starting at 2.5 mg weekly for at least four weeks Increasing by 2.5 mg increments at four-week intervals Delaying dose escalation if gastrointestinal symptoms are problematic Recognizing that slower titration, while extending the time to reach therapeutic doses, may improve long-term adherence Injection Technique Optimization can reduce local reactions: Rotating injection sites (abdomen, thigh, upper arm) Allowing the medication to reach room temperature before injection Using proper technique to minimize tissue trauma Hypoglycemia Prevention requires careful attention when tirzepatide is combined with other glucose-lowering medications

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