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2 STEP UP, 72-week study of adults with obesity using Wegovy (semaglutide 7.2mg)
She is a 32-year-old woman who presented to my office with chronic fatigue, exercise intolerance, brain fog, migraines, numbness and tingling in her hands and feet, joint pain, muscle weakness, vertigo, fevers/flushing, and an overall sense of feeling sick
The key is to be proactive and not ignore the symptoms
They work harmoniously because metformin targets cellular insulin resistance, while tirzepatide targets gut hormone receptors in the pancreas and brain
Lean meats, fish, eggs, Greek yogurt, legumes, vegetables, and whole grains should form the foundation of your diet
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