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Things To Consider When Starting Both If you're thinking about combining berberine with semaglutide, go slow and stay alert

Referral to a diabetes specialist team should be considered in cases where the provider is uncomfortable or unfamiliar with intensification, poor outcomes continue despite intensification, or patients have other issues that complicate intensification

If you're looking to enhance muscle growth, and metabolism, and reduce body fat generally, Ipamorelin may be the preferred option

Obesity, particularly in those with android body fat distribution, are at increased risk of NAFLD and disease progression and individuals with complications such as hypertension, knee osteoarthritis, or sleep apnea should also be screened for advanced liver disease

Lee Matthew MY, Sattar Naveed P-B, Rodica, et al

Current MHRA and NICE Guidance on Use in the UK Retatrutide has not received MHRA marketing authorisation and is not available via NHS prescribing