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What we check before starting a GLP-1 in perimenopause Before starting, we look at the whole picture, not just the number on the scale, because in midlife weight, mood, hormones, and sleep are usually tangled together

Standard maintenance: - Type I-II: 0.5 mg twice per week - Type III-IV: 0.5 mg once per week - Type V-VI: 0.5 mg every 2-3 weeks Alternative approach: Some users prefer a single larger weekly dose (1.0 mg once per week instead of 0.5 mg twice per week)

At 287 pounds, I was constantly exhausted and out of breath, unable to truly experience that once-in-a-lifetime adventure

Building on this prior work, we extended our prior analysis to look at more recent patterns, as time since the formulary change has passed