Ask about what maintenance dose makes sense for you, whether stepping down is realistic, and what your plan should look like over next year
Research from clinical trials suggests that without ongoing lifestyle modifications or alternative pharmacological interventions, many patients regain a substantial portion of the weight lost during treatment within 612 months of discontinuation, though it should be noted that much of this evidence comes from studies using the higher 2
Most protocols run weekly, with some clinics using twice-weekly or every-other-week schedules depending on the formulation and the patient
These may include insulin resistance, chronic inflammation, hormonal imbalances, gut dysbiosis, environmental toxin exposure, chronic stress, and sleep disruption, Dr
Problem #5: You May Never Be Able to Get Off of Them One of the main reasons that I was able to tolerate the thought of using these medications (even knowing all of these things) is that my intention was always that my patients would eventually be able to get off of them
This enables a semi-permanent, just-eaten sensation of fullness that consequently leads to decreased food intake and, ultimately, weight loss