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Mistake 2: shaking the vial Peptides are proteins, and proteins hate agitation

The patient was managed conservatively with cessation of tirzepatide, supportive care, and close monitoring

Tirzepatide is the first weight loss drug available by prescription that activates both of these receptors in your body

Trial mood scores moved slightly better rather than worse, so the negative experience appears to be a minority signal that standard adverse-event tables do not capture well

This is standard across nearly all compounded GLP-1 providers, since insurance companies do not cover compounded medications

These are usually mild to moderate and tend to improve over time
