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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

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Others start with tesamorelin for aggressive body recomposition and transition to sermorelin for long-term maintenance

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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

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

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administration, which allows once-daily administration with activity throughout the 24 h period

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Weill Professor of Metabolic Research at Weill Cornell Medicine in New York City

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