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Treatment options include: Semaglutide starting at $175 for the first 7 weeks High-dose Semaglutide options for $100 per vial (multi-vial purchase) Tirzepatide starting at $600 for the first 12 weeks Phentermine, when appropriate, to support treatment Testosterone Therapy starting at $150 for 10 weeks

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By activating GLP-1 receptors, Semaglutide enhances insulin secretion in response to meals, suppresses glucagon release (a hormone that raises blood sugar levels), and slows gastric emptying

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Lancet 2018;392:15191529

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These findings suggest that the effect of butyrate on feeding behavior is mediated by a mechanism involving gut-brain neural circuits [36]

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