estradiol and tirzepatide Women taking hormone therapy lost 35% more weight on than women taking the drug alone. A Mayo Clinic study published in The Lancet this year — most women on GLP-1s Tirzepatide Zepbound® - Prefilled Pen

As a result, since 2008, the FDA has required all new drugs for glycemic control in T2DM patients to demonstrate cardiovascular safety

On top of this, make sure to avoid heavily processed and refined carbohydrates

"Berberine may also enhance brown adipose tissue, a type of body fat that plays a role in calorie burning." Preliminary research shows that berberine may significantly reduce weight, BMI (body mass index) and waist circumference in people with a BMI in the overweight range (25-29.9)

Many online platforms also prescribe compounded semaglutide or tirzepatide

I have a patient in Arizona who isnt obese

GH and IGF-1 directly affect growth plates