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If youre primarily looking to manage your weight, Mounjaro or Wegovy (a higher-dose form of semaglutide, the same drug as Ozempic) are the licensed options in the UK

Natural GLP-1 boosters work primarily through dietary componentsparticularly protein, fibre, and certain bioactive compoundsthat stimulate intestinal L-cells to release this beneficial hormone

If you are eating so little that your energy crashes, you may need nutritional counseling rather than medication adjustment

Pharmaceuticals (Basel) 17:267 Li X, Luo R, Chen R, Song L, Zhang S, Hua W, Chen H (2014) Cleavage of IB by calpain induces myocardial NF-B activation, TNF- expression, and cardiac dysfunction in septic mice

In 2024, tirzepatide also gained authorization for managing moderate-to-severe obstructive sleep apnea (OSA) in obese adults (Malhotra et al., 2024)

Also, it's important to note that you can't tell if the medicine is still "good" by looking at it