Glycogen storage isn't optional for marathon performance
Oral semaglutide (Wegovy pill): In clinical trials , people with obesity targeting a dose of 25 mg or oral semaglutide daily lost about 14 pounds in 12 weeks
Kumar, Berberine shows data for improved glucose metabolism, so its something that could be considered more of a natural Metformin, but [it does have] he level of clinical efficacy of a GLP-1. Metformin is another prescription medication sometimes prescribed for weight loss
doi:10.6133/apjcn.2016.25.2.22 Jabbar A, Yawar A, Waseem S, et al
If less than 48 hours remain, skip the missed dose and administer the next dose on the regularly scheduled day
Sobos tirzepatide page explains that tirzepatide is a dual GIP and GLP-1 receptor agonist and is the ingredient in Mounjaro and Zepbound