semaglutide hormone imbalance slows epigenetic aging in a randomized trial of HIV-associated lipohypertrophy Exploring beyond numeric weight loss:

When stacked with GHK-Cu, this duo supercharges recovery, boosts collagen production, enhances skin and improves joint health

thus, this may also be a contributing factor to the differences in observed %WL in BARI-STEP and STEP 1

Tirzepatide (Mounjaro, Zepbound) is a dual GIP/GLP-1 receptor agonist with similar effects

The choice of a suitable alternative depends on your weight loss goals, health condition, affordability, insurance coverage, your body's tolerance, and route preferences

For patients with BMI 35 kg/m (regardless of comorbidities) or BMI 30-34.9 kg/m with metabolic disease, bariatric surgery consultation may be appropriate, according to 2022 American Society for Metabolic and Bariatric Surgery guidelines