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You start tirzepatide low, almost always at 2.5 mg once weekly, and titrate up from there regardless of how high your semaglutide dose was
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Figure 36: Novo Nordisk originated from Nordisk Insulin Laboratorium, a company founded in 1923 by Birte Marie Krogh (photographed here, credit: Novo Nordisk) and her husband August Krogh to commercialise the production of insulin from animal pancreata