Protocol 4: Post-menopausal metabolic restoration Goal: Address menopausal weight gain and metabolic changes Stack: Tirzepatide: Standard protocol (addresses insulin resistance) Tesamorelin: 1-2mg daily (visceral fat) CJC-1295/Ipamorelin: 200mcg each before bed (body composition, bone density) Resistance training: 3-4x per week Adequate protein and calcium Duration: 12+ months, potentially ongoing Expected results: 25-45 pounds weight loss Reduced visceral fat Improved insulin sensitivity Better body composition Maintained bone density Why this works: Addresses multiple menopausal factors - insulin resistance, visceral fat, muscle loss, bone density
Although both contain hormones, they serve very different purposes and contain very different hormone doses
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Often times this is a patient who had a previous tummy tuck performed by another surgeon where the abdominal muscle tightening is not complete or fell apart, the scar is too high, too wide, or irregular, or there is residual excess skin of the abdomen or pubic area
Eat when you are genuinely hungry and stop when you feel comfortably full, not stuffed