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While GLP-1 and GLP-1/GIP medications are generally considered cost-effective for treating obesity in targeted populations [65,66,67], alternative strategiessuch as expanding bariatric surgery access, enhancing lifestyle intervention programmes, pharmaceutical management of cardiometabolic comorbidities, or population-level policiesshould also be considered
The appetite suppression timeline also shifts with injection timing, which can help you naturally eat less during peak bloating periods
Mechanistically, GLP1R is expressed at low levels in the heart and vasculature, raising the possibility that GLP1 might have both direct and indirect actions on the cardiovascular system
I usually start with progesterone first again, you cant safely be on estrogen alone and progesterone seems to kick in quickly, within the first few days
Patients who are willing to commit to lab follow-up and dose check-ins
