15 mg compounded tirzepatide With B6 (Pyridoxine) Tirzepatide (Zepbound, Mounjaro): Weight Loss,

DPP-4 Inhibitors Examples: Sitagliptin, Vildagliptin, Saxagliptin, Linagliptin Mechanism: Inhibit DPP-4 enzyme prolongs incretin (GLP-1, GIP) activity insulin, glucagon Side Effects: Generally well tolerated

HRT decisions at goal weight depend on whether you still need hormonal support

The authors suggest creatine may: Help maintain lean muscle mass Improve strength and functional capacity Support glucose control Potentially reduce inflammation Importantly, this is not yet supported by clinical trials in people taking GLP-1 medications

Long-acting injectables are typically used by type 1 and type 2 diabetics who require insulin therapy