A standard weight loss workup at our clinic includes: Fasting insulin and HOMA-IR, a direct measure of insulin resistance Hemoglobin A1C A full thyroid panel, including Free T3, Free T4, and Reverse T3 (not just TSH) Comprehensive sex hormone panels for both men and women Cortisol patterns Inflammatory markers Advanced lipid particle analysis A DEXA body composition scan to precisely measure fat mass, lean mass, visceral fat, and bone mineral density That diagnostic picture determines the protocol
The pharmacist in me is thinking about real-world access and adherence
The 0.3 mL syringe cannot hold enough
These can include constipation, diarrhea, nausea, and vomiting
Sip cold water slowly or take a few sips from the far side of a glass
Variable Individual Tolerance Some patients tolerate one medication well while experiencing difficulty with the other