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Tirzepatide activates two separate hormone receptorsGLP-1 and GIPwhile semaglutide targets only the GLP-1 receptor, which explains part of the pricing difference

We begin with comprehensive lab work that goes beyond basic bloodwork, giving our providers a complete picture of your hormonal health, metabolic function, and any underlying factors that may be contributing to weight gain

For patients who cannot tolerate injectable medications, other FDA-approved anti-obesity medications may be considered, including phentermine/topiramate ER, naltrexone/bupropion ER, or orlistat, though evidence for their use specifically in post-bariatric populations is even more limited

Here is what the evidence supports at each timeframe, so you can make an informed decision about continuing or stopping