Its older approval and more modest efficacy profile mean most new prescriptions now favor semaglutide or tirzepatide when access and insurance permit
By extrapolation from the established profiles of approved GLP-1 receptor agonists including semaglutide (Wegovy SmPC, MHRA/EMC) and tirzepatide (Mounjaro SmPC, MHRA/EMC) clinicians should anticipate the need to review and potentially reduce antihypertensive doses as significant weight loss occurs, in line with BNF and NICE guidance principles
Blood glucose changes , if you have diabetes, may begin within the first week, though optimal glycaemic control typically develops over several weeks
The solution might appear clear
Here is the evidence-based approach to preserving as much muscle as possible while maximizing fat loss on tirzepatide
Zepbound slows gastric emptying, which can delay prednisone absorption by 30 to 60 minutes, but the long half-life of prednisone makes that delay unimportant for daily dosing