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This isn't technically an overdose relative to the maximum approved dose (15 mg), but it's an overdose relative to your tolerance, which is what determines symptom severity
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Key evidence comes from STEP (semaglutide for weight management, The New England Journal of Medicine , 2021), SURMOUNT (tirzepatide for weight management, NEJM 2022), and SURMOUNT-OSA (tirzepatide for obstructive sleep apnea, NEJM 2024)