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Tirzepatide (Mounjaro, Zepbound) is technically a dual GIP/GLP-1 receptor agonist, hitting two incretin receptors instead of one, which explains its superior weight loss outcomes in clinical trials
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The patch, for example, is from generic brands you could receive from your local pharmacy, like Dotti or Sandoz
Rapid weight loss without intervention causes muscle loss
The landmark COMBINE study (Anton et al., 2006) found that both naltrexone and structured behavioral support improved drinking outcomes, supporting a combined approach that addresses both the biological and behavioral sides of alcohol use
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