Stick with the maintenance plan Dr
Ultrasonography of gastrointestinal foreign bodies
On-Therapy Monitoring Schedule Weeks 4 and 8: IGF-1, ALT, AST, albumin, fasting glucose, body weight Week 12: Full CMP, IGF-1, HbA1c, PT/INR, Child-Pugh re-score Every 3 months thereafter: IGF-1, liver panel, albumin Target IGF-1 in the mid-normal range for age and sex
We tailor your plan to your medical history and goals
In summary, GLP-1RAs provide substantial weight loss and cardiometabolic benefits but may compromise skeletal muscle integrity, whereas exercise supports muscle maintenance and functional health, though its effect on weight reduction is typically modest compared with pharmacotherapy
Topiramate's exact mechanism for weight loss is not fully understood but may involve affecting neurotransmitters and curbing cravings