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A plateau may reflect several overlapping factors: Lower calorie needs at a lower body weight Adaptive metabolic changes during weight loss Decreased daily movement or step count Loss of lean muscle mass Inconsistent protein intake Constipation or water retention masking fat loss Sleep disruption or stress hormones Medications that promote weight gain or fluid retention Undiagnosed thyroid, hormone, or metabolic issues Normal transition from active loss into maintenance The correct response depends on the cause
Considering the patients persistent hyperglycemia and the maternal history of thyroid cancer, which made Glucagon-Like Peptide-1 receptor agonists (GLP1-RA) less suitable, empagliflozin therapy was initiated at a dose of 10 mg daily, while maintaining metformin therapy
Zepbound stands out among weight loss medications because it addresses multiple drivers of weight gain at onceappetite, metabolism, insulin resistance, and fat storage
