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Description
Research shows that GLP-1 medications do not directly bind to or metabolize lamotrigine, so there is no chemical interaction at the liver or kidney level
Others start with tesamorelin for aggressive body recomposition and transition to sermorelin for long-term maintenance
Weight loss is the most visible change, with clinical trials demonstrating average reductions that vary by medication: approximately 5-10% with liraglutide (Saxenda), 15-17% with semaglutide 2.4mg (Wegovy) in the STEP trials, and up to 20% with higher doses of tirzepatide in the SURMOUNT programme

This is clinically important because muscle loss can reduce metabolic rate, impair functional capacity, and worsen long-term outcomes

administration, which allows once-daily administration with activity throughout the 24 h period
Weill Professor of Metabolic Research at Weill Cornell Medicine in New York City
