The combination of dextrin and Liposyn delivery significantly increases GIP secretion at 30 min (2,094 241 pg/h) and at 60 min (8,027 1,057 pg/h) compared to saline, dextrose alone, and Liposyn alone (Lu et al., 2008)
[2] Zepbound is specifically indicated for adults with a BMI 30 kg/m (obesity) or 27 kg/m (overweight) with at least one weight-related comorbidity, as an adjunct to reduced-calorie diet and increased physical activity
While these shifts are rarely clinically dangerous, they can explain why some people feel different during the initial months of treatment
A common starting point is to cut portions in half compared with what you are used to eating
Although dulaglutide has lower efficacy than tirzepatide, it can still be an alternative to Zepbound and Wegovy
For example, iron deficiency should be treated with oral iron supplements (ferrous sulphate or ferrous fumarate), whilst vitamin B12 deficiency may require oral or intramuscular replacement depending on the underlying cause
