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We recommend starting with an intensive course of treatments every 2 weeks for the first 2-3 months

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These timelines represent a general pattern, not a guarantee

Hemoglobin A1c (your average glucose over about three months) and fasting glucose both tend to fall, often within the first few weeks

Common positive reports include reduced joint stiffness and morning pain (likely primarily from weight loss), improved energy levels after initial adjustment, better mood and reduced brain fog, improved sleep quality, and feeling that their autoimmune medications "work better" than before starting tirzepatide

Keatley questions the claim that insulin resistance is the universal cause of a slowed metabolism