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Three situations require modification: Renal impairment (eGFR below 60 mL/min/1.73 m) Tirzepatide is not renally cleared (it's metabolized by proteolysis), so renal impairment doesn't directly affect drug levels
That said, WeightWatchers Clinic now offers more affordable compounded semaglutide if you qualify
Drug Precautions and Safety Aseptic Technique Although the water contains a preservative, it is not a substitute for sterile technique
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