This is not an FDA-approved combination
"My sex drive was normal, two or three times a week

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If you miss a dose by fewer than two days, inject as soon as you remember
In contrast, the effects of glucose on GLP-1 secretion, depending on co-transport with Na + via sodium-glucose transporter 1 (SGLT1), is strongly inhibited by this maneuver [20]
Findings: Change in body weight : The mean percent change in body weight was -20.2% with tirzepatide (95% CI, -21.4 to -19.1) and -13.7% with semaglutide (95% CI, -14.9 to -12.6)