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Rosenthal, MD,FASMBS, a past president of the American Society of Metabolic & Bariatric Surgery (ASMBS), noting that bariatric surgery consults are down 30% nationwide in the past year
I also want to know about what have you tried before, what is your awareness of your diet inactivity, are you a willing partner in shared decision-making to work with me with this medication
Tirzepatide has shown even greater potential
Conversely, indicators of responsible positioning include: honest acknowledgment that mechanisms differ from pharmaceutical drugs, realistic expectation-setting about gradual metabolic support rather than dramatic transformation, transparent disclosure of all strains and doses, quality manufacturing claims (GMP certification, third-party testing), and guarantee periods aligning with research assessment timelines
Therapeutics and Clinical Risk Management, 7 , 377385
