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Most patients notice reduced appetite and improved energy within a few weeks, with continued results over time
Longer and harder isnt always better
At Lone Star Centers, Brenda Johnson sets realistic expectations, monitors progress, and adjusts your plan as needed to maximize results in a safe, medically guided way
People who have not achieved adequate weight loss with topiramate alone may benefit from adding semaglutide, though newer GLP-1 options like tirzepatide offer dual-receptor activation and potentially greater efficacy
Dehydration is a common cause of tiredness
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