semaglutide to tirzepatide & Tirzepatide: Can You Combine Them? Semaglutide/Tirzepatide: Beyond Weight Loss: Shamsah

Adults 18+ with a BMI of 27 or higher, or 25+ with weight-related conditions Patients who want fat loss with their muscle and skin protected, not just a smaller number Health-optimizers who want a physician-directed plan with a defined off-ramp Personal or family history of medullary thyroid carcinoma or MEN 2 Pregnancy, breastfeeding, or planning pregnancy Active pancreatitis or untreated severe gastrointestinal disease Expected Timeline What to Expect Realistic timelines from published trials

2020, doi: 10.1038/s41574-020-0399-8

Primary hyperoxaluria causes an overproduction of oxalate by the liver

Participants will have some assessments like several blood draws, electrocardiograms (ECGs), urine collections and capillary blood sugar tests

We provide in-person or virtual follow-ups, nutrition guidance, and structured monitoring

Better protein alternatives: Greek yogurt | Chicken breast | Lentils Are peaches high in fiber