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Tirzepatide Starter: 12 Week Dose Titration | Twin Ports Dermatology | Duluth, MN

### Step 5: Do Not Shake — Gently Swirl or Roll Shaking causes peptide aggregation and can degrade retatrutide

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Discontinuation events were initially identified through structured prescription records within the electronic medication database and subsequently adjudicated through review of clinician documentation and diagnostic coding in the electronic medical record