If a patient has already been on a higher dose of semaglutide, I may start tirzepatide at a slightly higher dose, as their body is already accustomed to medications in the incretin class and is therefore less likely to experience adverse effects
Legal and safety note: possessing or administering an unapproved opioid can carry legal consequences and real danger
These neurotransmitters help regulate focus, impulse control, and attention
The injection still wins when the goal is the largest possible weight loss, when type 2 diabetes and cardiovascular risk are part of the picture, or when a patient is already doing well on tirzepatide
Two-week stalls happen routinely (often related to menstrual cycles, sodium, sleep, or simple measurement noise)