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Window Off-cycle (4+ weeks) What's commonly tracked Symptom resolution, fasting markers What it tells you Off-time is when insulin sensitivity and IGF-1 receptor sensitivity recover

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We typically recommend IGF-1 testing at 3 months, 6 months, and then annually once stable

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Key moves include: Geographic expansion : Lilly has out-licensed tirzepatide to partners in Asia (e.g., in China and India) to accelerate uptake outside the U.S./EU

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Reverse T3 As a way to remove excess T4, the body converts T4 to rT3

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