Monitor fasting glucose, HbA1c, lipid panel, B12 levels, thyroid function, liver enzymes, and kidney function
Hormones and genetics make losing weight harder: Cortisol, blood flow patterns, and age all help stubborn visceral fat to stay in your body
Patients who prefer sublingual administration should review our comprehensive guide to oral tirzepatide for detailed protocols and expectations
For tirzepatide, that means 25 days minimum before less than 3% of the final dose remains active
Request the following labs before starting and then at 3 and 6 months: Total testosterone (optimal: 500 to 900 ng/dL for most men) Free testosterone (optimal: 15 to 25 pg/mL) Estradiol (optimal: 20 to 40 pg/mL) SHBG (reference: 10 to 57 nmol/L) LH and FSH (reference: LH 1.8 to 8.6 mIU/mL, FSH 1.5 to 12.4 mIU/mL) If testosterone is rising and estradiol is falling over time, the trajectory is positive regardless of how you feel in the short term