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The split-dose protocol used by many compounding telehealth clinics is intended to smooth the Cmax peak that drives nausea: tirzepatide has a roughly 120-hour half-life (StatPearls pharmacokinetics) and once-weekly dosing produces a peak 8 to 72 hours post-injection where GI side effects cluster

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*Correspondence: Plcido Navas [email protected] This article was submitted to Mitochondrial Research, a section of the journal Frontiers in Physiology Disclaimer All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers