i accidentally took a double dose of tirzepatide Mounjaro? Accidental double dose of 10

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If you are water fasting using the full-day fast or alternate-day fast strategies, you are just as safe as with any other form of intermittent fast, and only have an elevated risk if you have gout, type 1 or type 2 diabetes, eating disorders, or are elderly, sick, or pregnant/breastfeeding

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At week 40, tirzepatide significantly reduced mean fasting serum glucose by 58.2 mg/dL for the 5-mg dose, 64.0 mg/dL for the 10-mg dose, and 62.6 mg/dL for the 15-mg dose, compared with 39.2 mg/dL for placebo (5 mg: difference, 19.0 mg/dL [95% CI, 26.6 to 11.4]

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The blame almost certainly lies with other hormonally active agents used concurrently or, just as critically, with contaminated, low-purity products from untrustworthy suppliers