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Miller LS, Szych GA, Kantor SB, Bromer MQ, Knight LC, Maurer AH, et al

Counseling: Work with nutrition and mental health professionals to help address emotional issues related to eating and build new strategies to support nutritional and exercise goals

However, reaching optimal glycemic control typically requires 12-16 weeks, particularly as the dose is gradually titrated upward according to FDA-approved protocols

doi: 10.1210/clinem/dgaa285 161 Elkind-HirschKMarrioneauxOBhushanMVernorDBhushanR

He had no contraindications to fasting and was motivated to pursue aggressive dietary changes while on his outpatient dose of tirzepatide (7.5 mg weekly)