That puts you into territory where fermentation becomes significant
To get an NHS prescription for tirzepatide, you normally need a GP referral to a weight management service, and you must meet the following criteria: [3,4] A BMI of 40 or over, or 35 and over with one weight-related health condition, such as type 2 diabetes, high blood pressure, sleep apnoea, high cholesterol, or cardiovascular disease
This helps you avoid using the same site too soon
Topical creams, patches, injections are the most common
G80.0 (spastic quadriplegic), G80.1 (spastic diplegic), G80.2 (spastic hemiplegic), G80.3 (athetoid), G80.4 (ataxic)
It usually produces less weight loss than tirzepatide, but it has the longest outcomes record in the class: fewer cardiovascular events, slower kidney decline, and years of diabetes-trial safety data