Nutrition approach: Focus on protein at every meal (aim for 25-30g per meal minimum) Reduce ultra-processed food intake by 50% or more Eat vegetables with every meal to support gut health Stay hydrated with 64+ ounces of water daily Sleep optimization: Target 7-9 hours nightly Consistent sleep and wake times No screens 60 minutes before bed Cool, dark sleeping environment Movement: Daily walking, 20-30 minutes minimum Light resistance training 2-3 times per week No intense exercise that triggers compensatory hunger Tracking: Daily food journal noting hunger levels (1-10 scale) before and after meals Weekly weight check (same time, same conditions) Side effect log for provider discussions Protocol 2: weeks 5-12 (appetite optimization) Goal: Leverage the first therapeutic dose for maximum appetite control
No, at the moment, only brand-name versions of dulaglutide and tirzepatide are approved by the FDA
The telogen effluvium is self-limiting once the weight stabilises
Additionally, insurance coverage and pharmacy dispensing are based on prescribed doses, and modifying tablets may create medication supply issues
In Campbell's book, he offers guidance on avoiding several common pitfalls, which include inappropriate dosing and misunderstanding their mechanisms, as well as overreliance on these peptides without supportive lifestyle interventions and adjustments such as diet and exercise
doi: 10.1016/S2213-8587(22)00085-7 29 JastreboffAMle RouxCWStefanskiAAronneLJHalpernBWhartonSet al
