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People who gained weight saw no significant TSH changes

Even though this phase is designed to jumpstart your weight loss, there's no calorie counting, and you can eat as many fruits and veggies as you want

METFORMIN Introduction Metformin (Glucophage) is a synthetic analog of the natural product guanidine (22)

This variability means compounded tirzepatide may not produce the same results documented in Zepbound's trials, so you cannot use Zepbound's clinical evidence to predict outcomes with a compounded formulation

However, pairing GLP-1 drugs with DPP-4 inhibitors is generally avoided since both act on the same pathway, resulting in overlapping effects without meaningful added benefits