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Haqq L, McFarlane J, Dieberg G, Smart N

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While this test doesn't directly assess hydroxyzine metabolism, it can reveal genetic factors affecting your overall drug sensitivity and anxiety predisposition, helping your provider personalize both medications

All four medications are approved for different uses by the FDA, and work by mimicking hormones that regulate appetite and blood sugar

[1] [2] Clinical studies suggest that tirzepatide may reduce energy intake, though the extent varies among individuals and tends to be most notable during initial therapy

Thats not a judgment so much as a fact