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We do not know whether the insulin-sensitizing effects of GLP-1/GIP agonism adequately counterbalance the insulin-desensitizing effects of GH elevation when both occur simultaneously
If you do get anxiety or unpleasant palpitations you can always drop the dose or stop it, and switch to tirz instead, which also increases heart rate but less than reta
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Whatever your health goals are, its important to couple dietary changes with guidance from a healthcare professional
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