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Patients with specific GIPR variants often respond better to dual-compound medications that target both GLP-1 and GIP receptors simultaneously, explaining why some people plateau on semaglutide alone but succeed with tirzepatide or combination protocols

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Another point to consider is that hot flashes are a common symptom of menopause and other hormonal changes, which can make it difficult to determine whether Semaglutide is the cause

Vitamins and minerals that require specific absorption windows in the small intestine may not encounter those windows at optimal times
