Research-Informed • Endocrinology & Incretin Pharmacology • Patient-Led Sovereignty
Her Metabolic Health Clinical Intelligence & Shared Agency
Scientific Foundation

The Landmark Clinical Incretin Trials

Every framework on Her Metabolic Health is grounded in peer-reviewed clinical data. Below are foundational studies defining the current standard of care in obesity medicine:

STEP Clinical Trial Program

Semaglutide 2.4mg in Chronic Weight Management

The New England Journal of Medicine (NEJM) published landmark results demonstrating a mean weight loss of 14.9% alongside profound reductions in cardiometabolic risk factors, waist circumference, and systemic inflammatory markers.

Citation: Wilding et al., N Engl J Med 2021; 384:989-1002.
SURMOUNT Trial Series

Tirzepatide Dual GIP/GLP-1 Receptor Agonism

In SURMOUNT-1, tirzepatide produced mean body weight reductions of up to 20.9% at the highest dose (15mg), compared with placebo. The head-to-head SURMOUNT-5 trial then compared it directly with semaglutide: 20.2% vs 13.7% weight loss at 72 weeks.

Citation: Jastreboff et al., N Engl J Med 2022; 387:205-216. Aronne et al. (SURMOUNT-5), N Engl J Med 2025.
Operational Tooling

Vetted Lifer Supplies & Clinical Accessories

Our Commitment to Transparency (FTC Disclosure):
To support this site and its open-source advocacy, we may receive a commission if you utilize the links on this page. We never accept payment for positive reviews or ranked placements. No product is listed here until it has been vetted for quality, facility registration and current regulatory standing, and patient safety. The categories below are coming soon.
Muscle Insurance

High-Density Protein Isolates

Third-party tested whey and plant isolates yielding at least 2.7g of bioavailable leucine per scoop to ensure you hit the mTOR protein synthesis threshold without filling a slowed stomach.

Explore Vetted Protein, coming soon
Cold Chain Security

Medical-Grade Travel Flasks

TSA-friendly insulated medication coolers with digital temperature displays that hold refrigerator range (36°F to 46°F). Check your pen's label first: some can stay unrefrigerated for weeks (Zepbound pens up to 21 days at or below 86°F).

View Travel Flasks, coming soon
Plumbing Support

Electrolytes & Motility Salts

Sugar-free electrolytes for hydration, and magnesium citrate, which draws water into the colon to support regularity. Check with your clinician before using magnesium if you have kidney disease.

View Motility Aids, coming soon
Peer Community  ·  Moderated

Trial Populations, and the People Outside Them

Registration trials report averages across enrolled populations. They do not report what happens to the patient whose insurance lapses at month seven, or who is titrating on a compounded supply. Those accounts accumulate at Bitches & Besties, in cohorts organized by treatment start month.

Sources

Last reviewed October 19, 2026 by Cat Clark, curator. Every claim on this page traces to one of these records. Research evolves, and a study population is not you.

  1. Wilding JPH, et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity (STEP 1). N Engl J Med. 2021;384(11):989-1002. doi.org
  2. Jastreboff AM, et al. Tirzepatide Once Weekly for the Treatment of Obesity (SURMOUNT-1). N Engl J Med. 2022. doi.org
  3. U.S. Food and Drug Administration. FDA clarifies policies for compounders as national GLP-1 supply begins to stabilize. February 21, 2025. fda.gov
  4. U.S. Food and Drug Administration. List of Bulk Drug Substances for Which There Is a Clinical Need Under Section 503B: proposal to exclude semaglutide, tirzepatide and liraglutide. 91 Fed. Reg. 23431, May 1, 2026 (proposed, not final). Summary by Epstein Becker Green. ebglaw.com