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MEDVi has no published outcomes study

doi: 10.1093/ajcn/52.6.1087 66 WeichenbergerCXRiveraMTVanderpasJ

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They may recommend a dose reduction, a longer time between escalations, or a switch to a different GLP-1 compound like tirzepatide, which activates both GLP-1 and GIP receptors and may have a different side-effect profile for your specific metabolism

Recently, tirzepatide, a novel dual glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide-1 (GLP-1) receptor agonist, has demonstrated considerable efficacy in improving glycemic control and promoting weight reduction in patients with obesity (79)

reverse metabolic syndrome