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Think of the medication as a tool that helps make other essential changes more effective and sustainable

Eating food was no longer enjoyable

Urinary changes may occur indirectly through improved blood glucose control reducing hyperglycemia-related excessive urination, increased fluid intake to manage gastrointestinal side effects, or concurrent use of other medications like SGLT2 inhibitors that do affect urination

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Ipamorelin is studied as a selective ghrelin mimetic it binds the growth-hormone-secretagogue receptor (GHSR-1a), the same receptor the hunger hormone ghrelin uses, and in research settings appears to stimulate GH release with relatively limited effect on other hormones such as cortisol, prolactin, and ACTH

Those with reduced appetite due to tirzepatide's effects must make conscious efforts to maintain fluid intake despite decreased thirst signals