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Option #1 Semaglutide (Generic Ozempic) Option #2 Tirzepatide/BPC (Generic Mounjaro with peptides) These are really revolutionary medications that are relatively new to the market

[DOI] [PubMed] [Google Scholar] [122].Stimson RH, Walker BR (2013)

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Lancet (2016) 387:67990

If additional A1C lowering is needed, may increase to 1.5 mg once weekly, 3 mg (after 4 weeks on 1.5 mg dose), then 4.5 mg (after 4 weeks on 3 mg dose)

Effect of dual glucose-dependent insulinotropic peptide/glucagon-like peptide-1 receptor agonist on weight loss in subjects with obesity