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This represents a genuine pharmacological effect, not just a side effect of dehydration or reduced eating
For example, in the SURMOUNT-4 trial, tirzepatide discontinuers were randomized to a placebo, and they were unaware whether they were receiving tirzepatide or not. In real-world settings, the most common reasons for discontinuation are cost or insurance-related issues, and side effects, with the former predominating, he added
Resumption of full-dose therapy remains an option if alternative strategies prove insufficient to maintain therapeutic goals
Small shifts still matter
Another trial involving semaglutide reported improved glucose tolerance and weight loss in women with PCOS, though results on fertility outcomes were mixed