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Plan ahead if you are considering pregnancy: Discuss stopping anti-obesity medication with your prescriber before trying to conceive

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But there are subtle differences worth noting

Since tirzepatide already includes GLP-1 receptor agonism, adding semaglutide would double the GLP-1 stimulation without providing the additional GIP benefit

Aim for 5-8 grams of fiber per meal from vegetables, legumes, and whole grains, building up gradually if you are new to high-fiber eating

Consider tracking these daily improvementsthey provide motivation and confirmation that your efforts are working, even before lab tests show dramatic changes