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Schedule: Daily subcutaneous injections for 812 weeks (extend to 16 weeks if research goals require)

[1] When traveling with tirzepatide, use insulated medication travel cases with ice packs or cooling elements to maintain appropriate temperature, particularly during warm weather or extended trips

However, symptoms of mild hyponatremia, mild hypokalaemia and accompanying mild hypovolemia closely resemble observed symptoms of keto-flu. Another proposed mechanism of keto-induction is reduced energy substrate availability due to reduced serum glucose and low production of ketones within the first week

These could signal more serious issues like severe dehydration or electrolyte imbalances