[DOI] [PubMed] [Google Scholar] 63.Hu J.H., Tian W.Q., Zhao X.L., Zan L.S., Wang H., Li Q.W., Xin Y.P
The random effects model was used regardless of heterogeneity scores, based on evidence of more robust estimates when compared to fixed-effect models [31,32,33]
Established alternatives include structured lifestyle programs, behavioral counseling, and in some cases pregnancy-safe medications like metformin (if glucose control is the goal)
Direct hormonal effects: GLP-1 medications don't replace or significantly alter estrogen or progesterone levels Indirect benefits: Weight loss from GLP-1s may improve hormonal imbalances related to excess body fat Key distinction: GLP-1s and HRT work through entirely different mechanisms, which is why combining them may offer complementary benefits What research shows about using HRT and GLP-1 together Emerging research suggests combining HRT with GLP-1 medications may produce better weight loss outcomes than either approach alone, with tirzepatide showing 20.9% weight reduction at 72 weeks in clinical studies