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The SURMOUNT-1 trial for tirzepatide painted a similar picture, with roughly 25% of total weight lost coming from lean tissue and 75% from fat over the 72-week study period

Thus, while medications have narrowed the gap, surgery still provides the most reliable and substantial weight reduction for severe obesity

Intensity (weight on the bar) should stay high while volume decreases

Their platform addresses these interconnected issues through hormone replacement therapy, lifestyle coaching, and targeted supplementation

Q.et al (2019)

Trained in both surgical and medical aspects of weight loss, he excels in nonsurgical weight management and pre- and post-bariatric surgery care