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Things that frequently drive weight gain, and that GLP-1s alone will not fix: Untreated depression or anxiety that drives emotional eating and disrupted sleep Perimenopausal hormone shifts that change body composition and insulin sensitivity ADHD-related dysregulated eating patterns (binge eating, time-blindness around meals, impulsive food decisions) Untreated thyroid dysfunction Insulin resistance, PCOS, or sleep apnea that interact with metabolism Medication side effects from antidepressants, antipsychotics, or other prescriptions This is where being a dual-board-certified Family and Psychiatric-Mental Health Nurse Practitioner changes the conversation

Risk of Weight Regain: Like other weight management medications, stopping Zepbound may result in weight regain

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