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Both are research use only

Medical Evaluation Investigate potential medical contributors to weight loss resistance: Thyroid function: Check TSH if not recently assessed, as hypothyroidism impairs weight loss Medications: Review for weight-promoting drugs (antipsychotics, certain antidepressants, corticosteroids) Sleep disorders: Screen for sleep apnea and insufficient sleep, both associated with weight loss resistance Stress and cortisol: Chronic stress elevates cortisol, promoting central adiposity and metabolic dysfunction Dose Optimization If patients have not reached the maximum tolerated dose, consider further titration according to FDA labeling

Although you can switch from Zepbound to Ozempic if your healthcare provider recommends it, theres no guarantee that insurance will cover Ozempic

Dairy products: Milk, cheese, and yogurt are all good sources of vitamin B12

But the sheer magnitude of weight loss 24% in under a year means the absolute amount of muscle at risk is higher