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[4] The Saxenda SmPC specifies that treatment should be discontinued after 12 weeks on the full 3.0 mg dose if at least 5% of initial body weight has not been lost (a lower threshold applies for people with type 2 diabetes)
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Advise patients to report neck masses, dysphagia, dysphonia, or persistent hoarseness
Tirzepatide is a GLP-1/GIP receptor agonist that may help with appetite regulation
When medication is appropriate, the discussion should include: The limited evidence for GLP-1 agonists specifically in BED FDA-approved alternatives, including lisdexamfetamine Realistic expectations about outcomes and timeline Potential side effects and monitoring requirements Cost considerations and insurance coverage The importance of combining medication with behavioral interventions Monitoring during treatment should be systematic and multifaceted
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