Weight Changes After Incretin-mimetics

Inclusion Criteria: * adults 18 years or older * men and women * prescribed an incretin-mimetic for weight loss and for whom insurance coverage for this specific drug will lapse * any ethnicity Exclusion Criteria: * weight \> or = 400 lb * type 1 or type 2 diabetes * patients taking steroid medications * anemia * heart disease * advanced kidney disease (CKD stage 4 and 5) * decompensated liver disease * hyperthyroidism * untreated hypothyroidism * active cancer * post solid organ or bone marrow transplant * HIV/AIDS * pregnancy/plan for pregnancy in the next 6 months * breastfeeding * post-menopausal women * current smoker * current recreational drug use * night shift or rotating shift workers