References White, G., Shu, I., Rometo, D., Arnold, J., Korytkowski, M., Luo, J
It serves different clinical goals and uses different biological levers than levothyroxine, testosterone replacement, or corticosteroids, so the expected outcomes, monitoring, and risks differ in predictable ways
Tirzepatide dinners Tirzepatide acts on both GLP-1 and GIP receptors, which can produce even stronger appetite suppression
This is a common concern for patients considering GLP-1 receptor agonists like semaglutide (Wegovy, Ozempic) and tirzepatide (Zepbound, Mounjaro)
Metabolic acidosis (too much acid and low serum bicarbonate levels) Kidney stones, osteomalacia, and osteoporosis Birth defects during pregnancy Decreased kidney function Allergic reactions (skin reactions and breathing problems) Note that phentermine and topiramate can cause unexpected changes in your mental health, including suicidal thinking and behaviors, within a week of starting treatment