semaglutide/tirzepatide Tirzepatide vs Semaglutide for Weight Loss: Which is Better? Ozempic® (semaglutide) and Mounjaro™ (tirzepatide),

Neuropharmacology 238 , 109637 (2023)

And youre not out of options

Importantly, tricyclic antidepressants, especially amitriptyline and nortriptyline, worsen the metabolic profile, increasing insulin resistance, contributing to weight gain and causing hyperglycemia, thereby increasing the risk of diabetes with prolonged use [77]

Additionally, be aware of potential side effects associated with GLP-1 drugs, such as nausea, vomiting, or hypoglycemia

Appetite hormones such as ghrelin, GLP-1, and PYY may shift back toward preoperative patterns

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