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Risperidone and paliperidone are far worse than any of the other D2 antagonists at elevating prolactin

However, medium to darker skin tones may take 3 to 6 months or longer, depending on consistency and metabolism

For most patients, GLP-1 receptor agonists like semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro, Zepbound) require long-term use to maintain their benefits

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Lifestyle guidance, progress tracking, and regular communication are part of care