This initial phase corresponds with the dose escalation period, where your dose starts low and increases gradually every 4 weeks
Clinical trials such as SURMOUNT-1 have demonstrated average weight loss of 15-21% of body weight over 72 weeks (depending on dose), with much of this effect attributed to reduced caloric intake
doi:10.1177/17511437251327566
Your program evolves as your metabolism and hormone levels respond because effective weight loss care doesnt stay static
In our review of the literature, we did not find any prospective clinical studies with sufficient evidence to support the use of metformin, melatonin, tranexamic acid, vitamins A, C, D, E, niacinamide, or zinc in the treatment of skin aging
In particular, adequate intake of both folate and vitamin B 12 is important in maintaining the integrity of the myelin sheath, and thiamin is needed for maintenance of the nerves membrane potential and for proper nerve conductance (3)