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This emphasis on long-term behavioral and psychological support is further underscored by a recent BMJ systematic review and meta-analysis showing rapid and clinically meaningful weight regain after discontinuation of weight-management medications, with regain occurring faster than after behavioral weight-management programmes [97]

In SURMOUNT-1, 72 weeks of tirzepatide induced mean WL of 1622.5% in people without diabetes compared to 2.4% with placebo, with no sign of the weight plateauing, suggesting that there may be further WL with long-term use [46]