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Start the medication first, stabilize on it, then add Pendulum at half dose

Just before we end, its worth remembering that whilst L-glutamine will help feed your gut the fuel it loves, you should also consider: Digestive enzymes (link to my enzymes article) for breaking down your food, as this reduces inflammation since large food particles will get broken down before they hit your gut, and it increases nutrient absorption allowing the gut to get better faster

For tirzepatide specifically, the compounded tirzepatide dosage calculator helps determine the right dose and corresponding cost

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[6] There are 4 common injection sites for administering B12, but you'll want to discuss what's best for you with your doctor