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Weeks 1–2

Tirzepatide (2.5 mg) once per week

Tesa/Ipa (250 mcg / 75 mcg) 5 days

BPC/TB (0.5 mL (500 mcg) / 0.5 mL (500 mcg)) daily

Weeks 2–4

Tirzepatide (3.7 mg) once per week

Tesa/Ipa (500 mcg / 150 mcg) 5 days

BPC/TB (0.5 mL (500 mcg) / 0.5 mL (500 mcg)) daily

Week 4-6 increasing tesa/ipa combo to 30 units 1000 mcg / 300 mcg keeping tirzepatide the same