The substantial reduction in systemic inflammation, as indicated by high-sensitivity C-reactive protein (hs-CRP) levels, alongside improvements in overall metabolic health, such as weight loss and glycemic control, represents significant systemic alterations that may indirectly benefit the brain by mitigating chronic inflammatory stimuli and enhancing cerebrovascular health
We do not prescribe, adjust, or discontinue medications
This persistent ghrelin elevation drives the regain experienced by most dieters after successful weight loss
Expect to complete prior authorization paperwork documenting BMI 30 (or 27 with comorbidities), previous lifestyle interventions, and participation in a comprehensive weight management program
If we need to stay on a low dose for a long time or increase temporarily to get back on track with weight loss goals, we can do that and monitor progress over the long term
This mechanism allows you to adhere to a low-calorie diet without temptation