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Recently, clinical trials of tirzepatide, a dual GLP-1R and glucose-dependent insulinotropic polypeptide receptor (GIPR) agonist, have achieved approximately 20% weight loss in substantial proportions of people with obesity (1)

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88 It is important to note that both groups were resistant to other reproductive treatments, and weight loss was observed in both groups, indicating the potential existence of other mechanisms exerted by GLP-1RAs that improve pregnancy outcomes other than weight loss

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In which case I have this little piece of advice, inspired by the great Willie Nelson: Mammas Dont Let Your Babies Grow Up to Be Bariatric Surgeons.

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Months 6 to 12: The SURMOUNT-5 trial published in the NEJM in 2025 found tirzepatide produced 20.2% body weight loss compared to 13.7% for semaglutide over 72 weeks in patients with obesity

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Postmenopausal women have low estradiol, elevated FSH, concomitant bone loss, and increased body fat)

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