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Exendin-4 administration reduced visceral hypersensitivity in a dose-dependent manner and decreased serotonin levels in the colon

My doctor even told me that while certain foods might help with weight loss, they did nothing to keep my glucose under control

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Advantages: Minimizes overlapping GLP-1 receptor activation Reduces nausea risk during first tirzepatide dose Allows clear attribution of side effects to the new medication Disadvantages: 7 to 10 day gap in appetite suppression Some patients report increased hunger and modest weight regain (1 to 3 pounds) during washout Psychological difficulty for patients who rely on medication for appetite control Clinical data supporting washout: a 2025 retrospective study (Kushner et al., Obesity Science & Practice) found no difference in final weight-loss outcomes between washout and overlap strategies, but washout patients reported 18% lower nausea rates during the first month of tirzepatide