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In contrast, the restrictive surgery group (including VSG and gastric banding) showed smaller BMD changes, with even a slight increase in total BMD

Patients should inform healthcare providers about all supplements, including vitamins, minerals, herbs, and over-the-counter products, as comprehensive medication reconciliation is essential for safe tirzepatide therapy

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Studies in obese rats show reduced fat and smaller adipocytes, supporting its value as a safer, targeted candidate for obesity research (2)

So we tell patients that for the best results, they should select an experienced and skilled provider, clearly communicate what result they hope to achieve, and then allow the physician to select the tools to achieve that goal