Overview
This study will assess the impact of genetic markers, microbiological (microbiome) and behavioral factors on tolerance, adherence and effectiveness of dual GLP1/GIP RA in the treatment of obesity.
200 consecutive patients who meet all inclusion and none of the exclusion criteria will be enrolled.
Eligibility
Inclusion criteria
- Age 18-60 years
- Consent to participate in the study and providing informed written consent
- Overweight or obese with a BMI \>27
Exclusion criteria
- Contraindications to tirzepatide use:
- Type 1 or type 2 diabetes
- Pregnancy or breastfeeding
- Cancer
- Heart failure
- Expected lack of patient compliance
- Taking immunosuppressive medications, steroids, NSAIDs, antibiotics (within 2 weeks prior to sample collection),
- Autoimmune and inflammatory diseases, acute infectious diseases, AIDS, tuberculosis
- Mental illness
- Alcohol dependence syndrome
- Liver cirrhosis
- Post-myocardial infarction or stroke


