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This can be a sign of serious side effects, including a condition called gastroparesis (stomach paralysis) or bowel obstruction

Most people are sedentary even on their feet all day

Figure 7: Time to the First Occurrence of the Composite of Cardiovascular Death*, Hospitalization for Heart Failure or Urgent Heart Failure Visit NOTE: An urgent heart failure visit was defined as an urgent, unplanned, assessment by a physician, e.g., in an Emergency Department, and requiring treatment for worsening heart failure (other than just an increase in oral diuretics)

J., & Bartlett, S

Discuss with your provider whether the additional weight loss justifies the higher dose, or whether maintaining at the plateau weight with the current dose is the more appropriate goal