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Follow your provider's schedule for increasing the dose
The increased bacterial metabolism also produces deoxycholic acid and lithocholic acid, which may have additional metabolic effects

Characterizing GLP-1 Receptor Agonist Use in Preadolescent and Adolescent Populations

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In many cases, definitive treatment of gallbladder disease (such as laparoscopic cholecystectomy) allows patients to safely continue GLP-1 medication if clinically indicated

Zepbound (tirzepatide): Similar to Mounjaro, the half life is about 5 days
