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Garcia-Webb says, I dont recommend compounded versions because they bypass the standard precautions, and there is no guarantee they are safe, not to mention effective

The relatively mild hepatotoxicity compared to other oral steroids allows extended use, though liver values should still be monitored regularly

Unintentional weight loss beyond expected: Rapid weight loss (more than 5 pounds in one week) may indicate malabsorption

Zepbound, the Eli Lilly tirzepatide brand, lists at approximately $1,000 per month

If free testosterone normalizes with weight loss, hold on exogenous testosterone therapy

Rotating sites each week, choosing healthy skin, and using correct technique reduce the frequency of local reactions