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Zac Spiritos: That's a really good question, and I've asked patients if they wanna start tirzepatide [00:40:00] or semaglutide who are underweight and they feel very apprehensive about it

Building a GLP-1 friendly breakfast routine that includes fermented foods can help establish better gut balance over time

If youve tried B12 supplements and didnt notice much improvement, injections might be a better fit

Monitoring biomarkers like IGF-1 (Insulin-like Growth Factor 1) can provide direct insight into how the pituitary is responding

Its unique dual-action mechanism means patients at Lone Star Center for Health and Wellness may experience further benefits beyond those offered by medications that target only a single hormone