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Herbal Therapy and Supplements

They may produce different weight loss results Both medications can be effective for regulating blood sugar and promoting weight loss

Potential Benefits: Enhanced Muscle Growth: Direct stimulation of GH production helps increase muscle mass and improves muscle strength by enhancing protein synthesis and promoting new muscle cell growth

Unlike semaglutide, tirzepatide targets both GLP-1 and GIP (gastric inhibitory polypeptide) receptors, enhancing fat metabolism and insulin sensitivity

For neurological involvement, hydroxocobalamin 1mg should be given on alternate days until no further improvement, before moving to maintenance