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Essentially, they signal the brain to feel full, which can help lower calorie consumption

The effect of a ketogenic diet versus mediterranean diet on clinical and biochemical markers of inflammation in patients with obesity and psoriatic arthritis: a randomized crossover trial

So blood tests, because we know the research is clear that if it is sub-therapeutic levels, even if she's not having hot flashes, [00:40:00] we shouldn't be expecting the full metabolic benefit

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If response differs significantly from expected, consider checking serum tirzepatide levels (available through specialty labs) to assess bioavailability
