For patients with a higher BMI or more stubborn metabolic resistance, tirzepatide is often the more powerful lever to pull, adds Holmes
This can be uncomfortable and may require changes in diet or the use of laxatives
Additional testing may be considered for people with a family history of premature heart disease, metabolic risk, abnormal cholesterol results, known cardiovascular disease, or uncertainty after standard testing: ApoB, Lp(a), and hs-CRP may help reveal particle burden, inherited risk, and inflammation that are not fully captured by LDL cholesterol alone
On concentrations, South Korea's Ministry of Food and Drug Safety has set 0.04% as the approved functional anti-wrinkle level
Ben-Shlomo S, Zvibel I, Varol C, Spektor L, Shlomai A, Santo EM, et al