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This excludes ancillary supplies like bacteriostatic water, syringes, and baseline/follow-up IGF-1 testing (approximately $80$120 per test through commercial labs)

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How long does it take to see weight loss results with tirzepatide

In the Lira Pump study, they decreased basal insulin by 10%, but increased bolus by 15% ( Our current practice is to consider a ~20% bolus insulin decrease and a ~10% basal insulin decrease before GLP-1RA initiation, although prior A1c, risk of hypoglycemia, potential risk of ketosis due to reduced insulin doses, as well as other patient-specific factors should guide the final insulin dose changes