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Before starting tirzepatide: Complete blood count (CBC), comprehensive metabolic panel (CMP), vitamin D (25-hydroxyvitamin D), vitamin B12, complete iron panel (serum iron, ferritin, TIBC, transferrin saturation), magnesium (RBC magnesium is more accurate than serum magnesium), thyroid panel (TSH, free T3, free T4), lipid panel, HbA1c At three-month intervals: CBC, CMP, vitamin D, B12, and any previously deficient markers

Patients with personal or family history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (MEN 2) should discuss these concerns with their specialist before considering treatment

We recommend LDM management for sensitive skin types, such as inflammatory skin or atopic skin, where irritating procedures are difficult

SCFAs Improve GLP-1, Reduce Cravings & Support Satiety SCFAs, especially butyrate and propionate, have been shown to stimulate GLP-1 release in laboratory and animal studies (Tolhurst et al., 2012)