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Ivermectin has recently received FDA and EU approval for the treatment of adult patients with inflammatory lesions of rosacea, a disease in which this agent has been shown to be well tolerated

Competing Interests The authors have no conflict of interest to declare

Semaglutide/Tirzepatide: Larger volumes Challenge: These often require larger volumes (0.5-1ml vs 0.1-0.3ml for other peptides) Tips: Use 1ml insulin syringes May take slightly longer to inject (still 3-4 seconds) Abdomen handles larger volumes best TB-500: IM option Note: TB-500 works both SubQ and IM When to use IM: Larger volumes Some people prefer IM for TB-500 Not necessary, SubQ works fine CJC-1295/Ipamorelin: Multiple daily injections Challenge: Some protocols call for 2-3 injections daily Strategy: Create rotation schedule Morning: right abdomen Evening: left abdomen Rotate quadrants over week Use our BPC-157 calculator and TB-500 calculator for precise dosing