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Downtime varies by modality

Example gradual titration (5/5 vial, once daily SC) - research reference only Weeks 1-2 Tesamorelin 167 mcg Ipamorelin 167 mcg Units (0.10 mL = 10u) 10 units (0.10 mL) Weeks 3-4 Tesamorelin 333 mcg Ipamorelin 333 mcg Units (0.10 mL = 10u) 20 units (0.20 mL) Weeks 5-8 Tesamorelin 500 mcg Ipamorelin 500 mcg Units (0.10 mL = 10u) 30 units (0.30 mL) Weeks 9-16 Tesamorelin 667 mcg Ipamorelin 667 mcg Units (0.10 mL = 10u) 40 units (0.40 mL) Illustrative titration for the 5/5 vial only

The FDA says people may be subject to dosing errors

We conduct regular monitoring of blood glucose, blood pressure, kidney function, and weight to track progress and ensure patient safety