Plateaus can occur because: your metabolism has adapted to your lower weight, youve unconsciously increased caloric intake, you need a dose adjustment, youre retaining water temporarily, or youre building muscle while losing fat (improving body composition without scale changes)
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Questions to ask if blood pressure is consistently low include: Are there any steps I can take to get my blood pressure back into a normal range
New GLP-1 drugs have emerged, including Eli Lillys tirzepatide (Mounjaro for diabetes, Zepbound for obesity), which activates both GLP-1 and GIP receptors and has produced even greater weight loss than semaglutide
Most patients report gastrointestinal symptoms, including constipation, when taking semaglutide during the first 8 to 12 weeks of treatment, particularly during dose escalation