The TRIUMPH-4 Phase 3 trial in obesity with knee osteoarthritis (Bays et al., NEJM 2025) reported 28.7% mean weight loss at 68 weeks at the 12 mg dose, plus a 75.8% reduction in WOMAC knee pain scores
Encinitas 285 N El Camino Real #211, Encinitas, CA 92024 Eastlake 970 Eastlake Pkwy Suite 101, Chula Vista, CA 91914 Carmel Valley 5965 Village Way e207, San Diego, CA 92130 Mission Valley 1425 Frazee Rd San Diego CA 92108 Mission Valley North 7525 Metropolitan Dr Suite 300, San Diego, CA 92108 Roseville 781 Pleasant Grove Blvd #100, Roseville, CA 95678 Walnut Creek 1661 Mt Diablo Blvd, Walnut Creek, CA 94596 Sunnyvale 300 W McKinley Ave F110, Sunnyvale, CA 94086 Laguna Niguel 24022 Aliso Creek Rd, Laguna Niguel, CA 92677 San Diego Not near a clinic

Shampoo: Orgainc Aloe Barbadensis Leaf Juice, Sodium C14-16 Olefin Sulfonate, Cocamidopropyl Betaine, Sodium Cocoyl Isethionate, Glycerin, Caffeine, MSM, Biotin, Pantothenic Acid, PEPTASTEM [Citrus Aurantium Dulcis (Orange) Callus Culture Extract, Centella Asiatica (Gotu Kola) Extract, Tripeptide-5, Palmitoyl Tetrapeptide-7, Acetyl Hexapeptide-8, sh-Oligopeptide1, Allantoin] , Hydrolyzed Keratin, Vitis Vinifera Fruit Cell Extract (Grape Stem Cell), L-Methionine, Myristoyl Pentapeptide-17, Fucus Vesiculosus (Seaweed) Extract, Clitoria ternatea Linn Extract, Niacin, Simmondsia Chinensis (Jojoba) Seed Oil, Brassicamidopropyl Dimethylamine, Arthrospira Platensis, Peppermint (Mentha) Oil, Lavender (Lavendula) Oil, Sage (Salvia officinalis L.) Oil, Bergamot (Citrus Bergamia) Oil, Tocopheryl (Vitamin E), Ethoxydiglycol, Caprylyl Glycol, Xanthan Gum, Guar Hydroxypropyltrimonium Chloride, Sodium Benzoate, Potassium Sorbate, GHK-Cu (Copper Peptide), Radish ferment, Sodium Chloride, Tetrasodium Glutamate Diacetate

I've had a similar reaction to injections before and noticed that if I upped my folate supplements a bit, I seem to come out of that fog, but I have to be careful because a little folate goes a long ways for me and if I get too much I get jittery