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Additionally, studies have shown decreased regional cerebral blood flow in ALS patients (Waldemarv and Vorstrup 1992)

However, ultrasound is operator-dependent and is not universally available, so it should supportnot replaceclinical judgment

Ther Drug Monit 23(5): 542-549

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However, repeated delays or skipped doses can weaken tirzepatide's cumulative effect and slow your progress, so consistency is more important than perfection