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Standard titration schedule : Week 1-4: 2.5mg weekly Week 5-8: 5mg weekly Week 9-12: 7.5mg weekly Week 13-16: 10mg weekly Week 17-20: 12.5-15mg weekly (optional) Vial recommendations : 10mg vials : Testing tolerance only 30mg vials : Best value, most flexible 40mg vials : Bulk option for long-term use Complete protocol requires : 4-5x 30mg vials (most economical) 20 weeks minimum $400-600 total cost Weekly injections Success factors : Follow titration schedule (don't rush) Source quality peptides from reputable vendors Manage side effects proactively Support with diet and exercise Use our calculators : Semaglutide calculator (works for tirzepatide) Start with 2.5mg weekly for 4 weeks

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Pernicious Anaemia Society Got my delivery from Germany and Gp phoned ref my letter about SI I've written to GP about SI and asking for treatment for symptoms of PA rather than guidelines