Core Viewpoint - Obesity is a health condition associated with excess fat accumulation, leading to various complications and comorbidities. GLP-1 receptor agonists have been approved for treating obesity and type 2 diabetes, demonstrating effectiveness in appetite reduction and food intake decrease [2][3]. Group 1: Efficacy of GLP-1 Receptor Agonists - GLP-1 receptor agonists like semaglutide and tirzepatide have shown weight loss of 15%-20% compared to placebo over 68 to 72 weeks [3]. - Despite their effectiveness, about half of the patients discontinue treatment within the first year due to gastrointestinal side effects and high costs [3]. - Weight regain is common after stopping GLP-1 receptor agonists, emphasizing the need for continued use for sustained benefits [5][6]. Group 2: Weight Maintenance Challenges - A clinical trial indicated that participants who switched from semaglutide to placebo regained an average of 6.9% of their body weight, while those who continued treatment lost an additional 7.9% [6]. - After one year of stopping semaglutide, 18% of patients regained their lost weight, and 26% regained more than 25% of their weight [6]. Group 3: Treatment Duration and Guidelines - Patients should not stop medication before it takes effect and should continue for at least 12 weeks to see significant results. If effective, continuation for 9 months to 1 year is recommended [7]. - After three months of semaglutide use, patients typically experience a weight loss of 5.9%, increasing to 10.9% after six months [7]. Group 4: Strategies for Weight Management Post-Treatment - To prevent weight regain after stopping medication, patients should monitor appetite and weight closely, maintaining healthy eating habits and regular exercise [14]. - Dietary changes, such as reducing high-calorie foods and increasing protein and fiber intake, are crucial for weight maintenance [15]. - Incorporating strength training alongside aerobic exercise can enhance metabolic rate and support long-term weight loss [17]. Group 5: Importance of Sleep - Insufficient sleep can disrupt metabolic regulation, increasing hunger hormone levels and decreasing satiety hormone levels, leading to increased calorie intake [18]. - Adults are recommended to aim for 7-9 hours of sleep per night for optimal health and weight management [18].

Group 1 - The article emphasizes the health challenges associated with the autumn equinox, including increased risks of respiratory diseases and cardiovascular issues due to temperature changes [1][4] - Experts recommend preventive measures such as timely flu vaccinations, maintaining hygiene, and monitoring health conditions during travel [2][3] - The article highlights the importance of managing temperature fluctuations to protect cardiovascular health, suggesting layered clothing and regular blood pressure monitoring for at-risk individuals [4] Group 2 - The article discusses the proper use of medications, stressing the need for prescriptions for certain drugs and the importance of adhering to medical advice [5] - It warns against the use of expired medications, which may pose safety risks, and advises regular checks of medicine cabinets [6]