If you do not achieve adequate weight loss on semaglutide, your provider may recommend increasing the dose (if not already at maximum), switching to tirzepatide (which works through a dual mechanism), or adding complementary approaches such as hormone optimization or more intensive nutritional support
However, by this point, you will be deficient in the money you have spent on needless injections, so Save Face recommend a full check-up with either your NHS GP or a private doctor, who can confirm your symptoms and any genuine deficiency with a blood test, and more importantly can prescribe the best type of B12 product and treatment programme to suit your needs.
Key questions should address any personal history of thyroid nodules, thyroid cancer, or thyroid surgery, as well as detailed family history of MTC, MEN 2, or other endocrine tumors across multiple generations
These data, combined with an automated analysis of whole-brain c-Fos activity showing sites with and without direct compound access, support a model in which semaglutide regulates BW by directly targeting independent brain regions
Georgiadi A, Lichtenstein L, Degenhardt T, Boekschoten MV, van Bilsen M, Desvergne B, et al