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You don't need to take massive doses to see a benefit

Type 2 diabetes in adults: management recommendations (NG28)

The Ozempic label warns that concomitant use with an insulin secretagogue or insulin may increase the risk of hypoglycemia, including severe hypoglycemia, and reports that documented symptomatic hypoglycemia occurred in 17.3% and 24.4% of patients when Ozempic 0.5 mg and 1 mg respectively were coadministered with a sulfonylurea

Neither one answers the question you actually care about, which is where to start safely and who will be watching your progress

Most patients begin experiencing noticeable weight reduction within 4-8 weeks of starting tirzepatide, with corresponding improvements in sleep apnea severity typically becoming apparent after 3-6 months of treatment