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Some practitioners are using them sequentially, starting with semaglutide and switching to tirzepatide if response is suboptimal, similar to how switching between GLP-1 agents works in metabolic contexts

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Additionally, Victoza should not be used with any other medications that also contain liraglutide

doi: 10.1046/j.1471-4159.2003.01812.x 138 PerryTGreigNH

Acute changes in blood glucose affect gastric emptying, which is slowed during hyperglycaemia and accelerated during hypoglycaemia [6]

Liquid chromatography-tandem mass spectrometry (LC-MS/MS) is the gold standard for quantifying dihexa in plasma, with a lower limit of quantification typically around 15 ng/mL depending on sample preparation and ionization efficiency