After six to twelve months of use, some patients plateau as the body adapts to reduced caloric intake, and the article describes this metabolic adaptation, a drop in resting metabolic rate, as a normal physiological response rather than medication failure
As a supplement, its available over the counter in the UK at the same 600mg dose used in clinical research
Nutrient interactions Antioxidant nutrients The importance of selenium to biological systems, and specifically to the cellular redox (pro-oxidant/antioxidant) balance, is thought to be derived primarily from its presence as selenocysteine in the catalytic site of selenoproteins (see Function)
It is reported that this reduction in UFA, is an indication of oxidative pressure generated from exogenous ROS, therefore it resulted in oxidative damage in the cell membrane of S
The second patient followed shortly after, since we saw a marked weight response in our first patient (body weight 27%) and massive reductions in insulin doses (83%) and resolution of insulin resistance upon starting tirzepatide. Their choice stands to reason