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Gastric bypass can have a strong metabolic effect and may be considered for patients with type 2 diabetes, but the best option depends on the patients full medical history and should be discussed with a bariatric surgeon

For most patients, the medication does the heavy clinical lifting

Lyophilized: Store at 20 C (4 F) for long-term stability (several months)

Tirzepatide the FDA label directs initiation at 2.5 mg once weekly, with escalation in 2.5 mg steps at intervals of at least four weeks to a maximum of 15 mg weekly