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Long-term Results: According to 2026 data, patients on tirzepatide or semaglutide often reach their peak weight loss between month 10 and month 14 . Total Loss: Most successful patients see a total reduction of 15% to 22% of their starting weight by the one-year mark. The Shift: At this stage, you and your doctor will discuss whether to stay on a "maintenance" dose or begin a very slow taper, depending on your metabolic health goals

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Cortisol and stress hormones Stress is more than a mental strain