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As the hidden cost, guesswork buries the pattern that could inform better decisions, outcomes and clinician conversations

Code availability All analyses were performed using publicly available software packages cited in the Methods

Diabetes Care 2021;44:133-140 Kahkoska AR, Shay CM, Crandell J, Dabelea D, Imperatore G, Lawrence JM, et al

Injections of Mounjaro (tirzepatide) act as the hormones we would naturally produce and have released after eating that help to manage our blood sugar levels

As part of our program, you return for regular visits so we can: Track changes in body weight, waist circumference, and BMI Monitor high blood pressure, heart rate, and lab values Review your food choices, exercise program, and medication use Adjust your treatment plan if weight loss slows or health conditions change We also check in about your mental health, stress, and sleep, because these can strongly influence longterm success

Dehydration, fatigue, and difficulty concentrating can also occur, particularly when first adopting a fasting regimen