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32.3 9.4 kg/m 2 , p = 0.022)
The Dietary Guidelines for Americans recommend 25-30 grams of fiber daily for women and 30-38 grams for men, with attention to fiber type: Soluble fiber (oats, psyllium, apples, beans) forms a gel that softens stools Insoluble fiber (wheat bran, vegetables, whole grains) adds bulk and promotes transit Patients should increase fiber gradually over 2-3 weeks to minimize bloating
Physical Activity: Moderate Exercise: Engage in regular, moderate exercise like walking, yoga, or swimming
Tirzepatide adds the GIP receptor
GLP-1 and pregnancy or lactation are not recommended
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