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Description
Some people find this feels "weaker" initially because the peak concentration is lower, even though the total weekly drug exposure is similar
Shew, T., Wolins, N

Exendin-4 Induces a Novel Extended Effect of Ischemic Tolerance via Crosstalk With IGF-1r

It is not a steroid and it does not build muscle on its own
For women 40+, the same target applies and most are getting half that

Adults receiving multiple daily injections and those using an insulin pump or automated insulin delivery system had similar reductions in BMI and HbA1c with both semaglutide and tirzepatide, though there were trends showing greater decreases for insulin pump users