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Its like a lot of other things can be going on why somebody has objective improvement in 6 months

Because GIP receptor activation affects fat metabolism through pathways separate from appetite control, there is a theoretical basis for better weight maintenance at lower tirzepatide doses compared to equivalent semaglutide doses

Certain predispositions may correlate with faster appetite rebound and earlier weight regain, making continuous therapy or alternative strategies worth considering with your provider

A provider who understands these differences may be willing to prescribe based on your actual metabolic risk rather than a standard BMI cutoff that was not designed for your population