step up trial semaglutide Weight regain and cardiometabolic effects after withdrawal of semaglutide: The 1 extension - Wilding - 2022 - Diabetes, Obesity and Metabolism Two Years on Semaglutide -

This is also seen in medications for depression (SSRIs), which increase serotonin to help regulate mood and are known to cause low libido and delayed/anorgasmia as well

Tirzepatide, known as a twincretin, is a first-in-class and the only dual glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic peptide (GIP) receptor agonist, that can significantly reduce glycemic levels and improve insulin sensitivity, as well as reducing body weight by more than 20% and improving lipid metabolism

Most of our IV clients fall into a few patterns

This level of consistency strengthens safety and supports long-term adherence