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Following the standard four-week titration schedule at each dose gives your system time to adapt before the next increase

The combination addresses both the hormonal trigger and the metabolic consequence

The most commonly discussed options include: Ozempic / semaglutide Wegovy / semaglutide Mounjaro / tirzepatide liraglutide exenatide Tirzepatide may be discussed differently because it acts on both GLP-1 and GIP receptors , making it mechanistically distinct

A 2025 study found iron deficiency in 88.4 percent of Mounjaro users with hair loss

More serious, but less common or even rare side effects include a risk for thyroid cancer, which has been seen in animal studies, inflammation of the pancreas (pancreatitis), gallstones (stones in the gallbladder), and low blood sugar (hypoglycemia)

Ask about periodic labs and imaging when clinically indicated