The typical step-therapy sequence is documented lifestyle intervention for at least six months, followed by either phentermine or a non-GLP-1 obesity medication, before approving a GLP-1
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Its generally recommended to maintain a stable weight for at least 6 to 12 months before undergoing cosmetic surgery
For our framework on evaluating compounded GLP-1 providers, see is compound tirzepatide safe, are peptides legal, and the FDA peptide crackdown 2026
Protocols commonly use subcutaneous injection in a loading-then-maintenance pattern over 46 week blocks, but there is no FDA-approved product or official dosing
When discussing restart with your provider, ask what dose they recommend starting at and why