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Treat the constipation aggressively

A US-licensed clinician decides whether a GLP-1 is right for you

Mechanisms of Action: The peptide upregulates fibroblasts and vascular endothelial growth factor, stimulates glycosaminoglycan production, and alters expression of genes involved in tissue regeneration and oxidative stress reduction

Tirzepatide does not change carbohydrate digestion itself, but it slows gastric emptying, meaning bananas spend more time in your stomach

When combined, they create a powerful synergy that can accelerate fat loss, improve energy, and enhance performance

Referral pathways may include endocrinology, diabetes self-management education and support (DSMES), registered dietitians, and bariatric medicine specialists as appropriate for complex cases or when treatment goals are not met with standard approaches