tirzepatide vs metformin for weight loss Semaglutide: Winner? 🏆 📊 72-Week NEJM Data: Tirzepatide: ~20% body weight loss Semaglutide: ~14% body weight loss 💡 Tirzepatide shows greater weight & HbA1c reduction, but cost, side Metformin + Mounjaro for Weight

Expecting overnight results: Setting unrealistic timelines leads to giving up too early

Problems: Not subject to US safety regulations Products not FDA-approved for US market Counterfeit medications common Customs may seize shipments No legal recourse if product causes harm Improper storage during international shipping May violate US import laws Common Countries: India China Mexico Canada (some legitimate but many questionable) Various Caribbean nations Even if some overseas pharmacies are legitimate in their countries, importing prescription medications for personal use occupies a legal gray area and lacks safety oversight

Drug interactions and special situations Metformin and acid-suppressing meds can lower B12ask about periodic monitoring (NIH ODS)

5J), consistent with electron microscopy findings that ivermectin suppressed necroptosis (Fig

Be cautious of potential drug interactions, especially if youre on blood thinners like warfarin or certain chronic medications