Before recommending semaglutide, tirzepatide, or another medically supervised weight-loss strategy, a physician may review weight history, prior weight-loss attempts, BMI, waist circumference, body composition goals, A1C, fasting glucose, insulin-resistance risk, cholesterol, triglycerides, blood pressure, liver enzymes, fatty liver risk, kidney function, current medications, diabetes medication use, history of pancreatitis, gallbladder disease, gastrointestinal symptoms, thyroid history, protein intake, exercise habits, sleep quality, hormonal symptoms, inflammation-related concerns, side-effect tolerance, and long-term maintenance planning
In general, you might have more vivid dreams if youre anxious or stressed
If you stay on a stable dose long-term for more than 4 weeks, youre outside the danger window after 4-weeks and you can go back to your oral contraceptive pills
Research shows up to 70% of users stop medication within the first year, and many experience significant weight rebound