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This conservative starting dose minimizes side effects while allowing your body to adjust to the therapy

B., & Fonseca, V

Study Population : 2,539 adults without diabetes Average age: 44.9 years Average baseline BMI: 38.0 Average baseline weight: 231.1 pounds 67.5% female 70.1% White, 22.3% Hispanic/Latino, 5.4% Black, 2.2% Other Interventions : Tirzepatide 5 mg once weekly (n=630) Tirzepatide 10 mg once weekly (n=636) Tirzepatide 15 mg once weekly (n=630) Placebo once weekly (n=643) All groups: Counseling for 500-calorie deficit and 150 minutes/week physical activity Duration : 72 weeks Primary Outcome - Mean Percentage Weight Loss : Tirzepatide 5 mg: -15.0% (95% CI: -15.9 to -14.2) Tirzepatide 10 mg: -19.5% (95% CI: -20.4 to -18.5) Tirzepatide 15 mg: -20.9% (95% CI: -21.8 to -19.9) Placebo: -3.1% (95% CI: -4.3 to -1.9) Secondary Outcomes - Categorical Weight Loss (15 mg dose): 5% weight loss : 96.0% tirzepatide vs 34.3% placebo 10% weight loss : 89.4% tirzepatide vs 16.6% placebo 15% weight loss : 78.9% tirzepatide vs 8.2% placebo 20% weight loss : 62.7% tirzepatide vs 1.3% placebo 25% weight loss : 42.4% tirzepatide vs 0.3% placebo Trial Completion Rates : Tirzepatide 5 mg: 84.8% Tirzepatide 10 mg: 85.2% Tirzepatide 15 mg: 83.7% Placebo: 91.4% Safety Data (15 mg dose): Gastrointestinal adverse events: 81.0% tirzepatide vs 63.8% placebo Serious adverse events: 6.2% tirzepatide vs 4.2% placebo Discontinuation due to adverse events: 6.2% tirzepatide vs 2.2% placebo Real-World Evidence: Beyond Clinical Trials While randomized controlled trials provide the highest quality efficacy and safety data, real-world evidence studies examine outcomes in routine clinical practice settings without strict trial protocols

As GLP-1 agonists have garnered attention for management of obesity due to their effect on reducing insulin sensitivity, they are now being considered a therapeutic option for the treatment of PCOS (polycystic ovarian syndrome), one of the most common causes of subfertility, diagnosed via Rotterdams criteria: oligomenorrhea, hyperandrogenism and polycystic ovaries (97)

However, Wegovy may lead to more weight loss than Contrave

When supplementing, it's important to note that the Tolerable Upper Intake Level (UL) from supplements is 350 mg per day for adults