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Antibiotic Prophylaxis Before Endoscopic Procedures Procedure Indication for antibiotics ERCP without cholangitis (complete drainage) ERCP for obstruction without cholangitis (incomplete drainage) Liver transplant EUS-FNA of solid lesion (upper or lower GI tract) EUS-FNA of mediastinal cysts EUS-FNA of pancreatic or peripancreatic cysts PEG or PEJ initial placement Cirrhosis with GI bleeding Synthetic vascular graft OR prosthetic joints Lower endoscopy in patient undergoing peritoneal dialysis No Yes

For patients whose recovery goals also include growth hormone optimization alongside tissue repair, our guide to CJC-1295 with Ipamorelin explains how GH peptides complement recovery-focused protocols like TB-500 and when combining them makes clinical sense

Above 86 degrees Fahrenheit (30 degrees Celsius): Tirzepatide essentially expires immediately when exposed to high heat, regardless of what the printed date says

For best results, use consistently for 2-3 weeks