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Here's exactly what the published policy says

REFERENCES Cleveland Clinic Saliva and Oral Health PMC10537525 Lactoferrin and oral immune support PMC7585045 Serralysin biofilm activity MDPI Dentistry Journal 13(3):132 Papain enzyme research LINKS ABOUT THE AUTHOR Shannon M

This loading dose is given as an option to help achieve a target level within days, versus using only the maintenance dose, which reaches the target within months

In explaining such research findings, Pernicious Anemia Relief (PAR) notes that obesity may stem from the habits of individuals who have a B12 deficiency or their co-occurring conditions

The recommended approach is still to start retatrutide at 2mg regardless of your previous tirzepatide dose