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The recent surge in popularity of medications like Wegovy (semaglutide) and Zepbound (tirzepatide) (tirzepatide) has changed the landscape of medical weight loss

"You have no way of actually knowing as an American patient if you're getting the real deal or if you're getting a counterfeit, because it's really easy to lie on the internet and it's super easy to counterfeit a drug," Baney said

This is thought to be due to a transient change in blood volume and a faster turnover of red blood cells, which are typically measured for HbA1c

Aim for 25 to 35 grams of fiber daily from food or supplementation psyllium husk is inexpensive and effective and increase water intake meaningfully, not incrementally