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Taken after the metabolic window closes, it offers minimal benefit, which is why timing and formulation determine outcomes
HAPE rarely occurs below 3000 m and appears to occur frequently in children and younger adults
Serum calcium and magnesium are frequently depressed as these cations are lost in complex with unabsorbed fatty acids
Some patients start with semaglutide because coverage is easier to obtain, then switch to tirzepatide if results plateau or if coverage changes
Clean all high-touch surfaces every day
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