Tropical Weight Loss
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Can Mounjaro be prescribed for weight loss?

Is Mounjaro™ (tirzepatide) approved for weight loss? As of May 2022, Mounjaro™ is FDA-approved for use in patients with type-2 diabetes mellitus and not for weight loss alone. However, there is proof that its active ingredient is safe and effective in treating overweight or obesity.

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Is Mounjaro™ really all that special? All signs point to yes.

Results of the drug’s clinical trials were making headlines even prior to its FDA approval, and for good reason: Tirzepatide has, in two separate studies, blown some of its competitors out of the water. Read more about these trials—and their outcomes—below.

SURPASS-2 clinical trial

In a 2021 head-to-head trial, Eli Lilly’s Mounjaro™ was found to be more effective at controlling blood sugar and helping patients lose weight than Novo Nordisk’s Ozempic® (semaglutide). This SURPASS-2 trial took place over the course of 40 weeks and participants saw, on average, A1C reductions of up to 2.30 percentage points vs. their baseline. This was compared to a 1.86 percentage point reduction achieved with semaglutide. Perhaps even more interestingly, the same trial concluded that reductions in body weight were greater with tirzepatide than with semaglutide: Up to 5.5 kg more weight loss was seen with the former. Researchers hypothesize that this has to do with the medications’s unique dual action. A summary published in the New England Journal of Medicine states, “In patients with type 2 diabetes, a single molecule combining the glucose-dependent insulinotropic polypeptide receptor and GLP-1 receptor agonist may have a greater effect on glucose levels and weight control than selective GLP-1 receptor agonists.”

SURMOUNT-1 clinical trial

In the widely-publicized SURMOUNT-1 trial, Mounjaro™ was examined specifically for weight loss and the treatment of obesity. It did not disappoint: At week 72, average weight loss was 15.0% for those on a 5 mg dose, 19.5% for those on a 10 mg dose, and 20.9% for those on a 15 mg dose. This was compared to weight loss of only 3.1% in participants taking a placebo.

Other trials and research

In an earlier study completed in 2018, doses of Lilly’s tirzepatide were pitted against dulaglutide—a.k.a. Trulicity®—and “showed significantly better efficacy with regard to glucose control and weight loss than did dulaglutide, with an acceptable safety and tolerability profile.” Side effects with tirzepatide were similar to those of dulaglutide and, in general, well tolerated. Other trials of Mounjaro™ compared tirzepatide against a placebo or against more traditional therapies, including two long-acting insulin analogs. In all cases, tirzepatide at the highest dose of 15 mg/week has outperformed its opponents in A1C reduction and in overall weight loss.

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What hormone suppresses appetite?

Leptin Leptin decreases your appetite, while ghrelin increases it. Ghrelin is made in your stomach and signals your brain when you're hungry. Your fat cells produce leptin. Leptin lets your brain know when you have enough energy stored and feel “full.”

Overview What is ghrelin? Ghrelin is a hormone produced by your stomach. Other parts of your body, such as your brain, small intestine and pancreas, also release small amounts of ghrelin. Often known as the “hunger hormone,” ghrelin has numerous functions in addition to telling your brain you’re hungry. For example, ghrelin: Increases food intake and helps your body store fat.

Helps trigger your pituitary gland to release growth hormones.

Plays a role in controlling sugars and how your body releases insulin, the hormone responsible for processing sugar. Has a role in protecting your muscles from weakness and bone formation and metabolism. What is the difference between ghrelin and leptin? Ghrelin and leptin are two of many hormones that control your appetite and fullness. They’re involved in the vast network of pathways that regulate your body weight. Leptin decreases your appetite, while ghrelin increases it. Ghrelin is made in your stomach and signals your brain when you’re hungry. Your fat cells produce leptin. Leptin lets your brain know when you have enough energy stored and feel “full.” Ghrelin plays a role in the short-term control of appetite while leptin controls long-term weight control. Function What does the ghrelin hormone do? Ghrelin has several key functions. The hormone: Signals part of your brain called the hypothalamus to increase appetite.

Stimulates your pituitary gland to release growth hormones.

Stimulates your digestive system to move food from your stomach through your small and large intestines.

Contributes to controlling insulin release.

Plays a role in protecting your cardiovascular health. What triggers ghrelin? Your stomach releases ghrelin when it’s empty or mostly empty. Ghrelin levels are typically highest right before mealtimes.

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