Weight management — GLP-1 / GIP class
1 / 6Goal. Sustained weight loss + metabolic improvement (HbA1c, lipid panel, blood pressure).
Stack. Tirzepatide or Semaglutide. Single-agent — they don't combine. • Tirzepatide: titrate 2.5 → 5 → 7.5 → 10 → 12.5 → 15 mg once weekly, escalating every 4 weeks. • Semaglutide: titrate 0.25 → 0.5 → 1 → 1.7 → 2.4 mg once weekly.
Cycle. Long-term — months to years. The phase-3 trials ran 68–72 weeks; weight regain is common after discontinuation.
Evidence. Tier 1 (RCT-supported, FDA-approved).
Stack rationale. Best-in-class evidence; ~14–22% mean body weight reduction in placebo-controlled trials. SELECT trial added cardiovascular benefit for semaglutide.