If medically appropriate: weight loss medications (such as GLP-1 agonists), appetite suppressants or metabolic boosters under close supervision
Maquart FX, Bellon G, Chaqour B, Wegrowski J, Patt LM, Trachy RE, Monboisse JC, Chastang F, Birembaut P, Gillery P: In vivo stimulation of connective tissue accumulation by the tripeptide-copper complex glycyl-L-histidyl-L-lysine-Cu2+ in rat experimental wounds
Plan for long-term therapy
Less complex hormonal cycling: Womens menstrual cycles create water retention fluctuations that can mask fat loss on the scale
Normal GH release is pulsatile the hypothalamus alternates stimulatory GHRH with inhibitory somatostatin, ghrelin signaling adds another push, and the big pulses land during sleep
After accounting for the competing risk for death, Bilchick and colleagues determined that GLP-1 use was linked to reduced risk for incident AF (HR = 0.75