If youre a clinician considering microdosing: Be explicit: We dont know exactly how or why this might work at this dose Consider it especially for: Normal-weight patients with metabolic dysfunction Patients who cant tolerate higher doses Conditions with strong mechanistic rationale (PCOS, autoimmune disease, addiction) Monitor objectively: weight and body composition, waist circumference, labs, symptom scores, not just subjective reports Track patients who dont lose weight but report benefits - these are your most interesting cases Document everything, contribute to registries If youre a patient considering microdosing: Understand that benefits without weight loss are reported but not proven Know that you might be benefiting from small amounts of visceral fat loss that dont show on your scale Be skeptical of your own subjective improvement (placebo is real) Know that all medications come with possible side effects Work with a clinician who will help you figure out if its actually working If youre a researcher: Please study the minimal effective dose Use imaging to measure visceral fat, not just scale weight Design studies in normal-weight metabolically unhealthy individuals Compare weight-matched groups to isolate non-weight-loss effects My opinion

When #healthinsurance does not cover obesity treatment, patients do not just stop trying to lose weight
Many of the effects are mild and temporary and can be avoided or minimized by working closely with your prescribing provider to ensure you take the correct dose of medication, are eating a well-balanced diet, and drinking enough water
He is always on good form and is the best in business
ESHRE guideline: endometriosis
Tirzepatide can sometimes make it harder to stay hydrated