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Reasonable candidates are patients already engaged in a supervised weight-loss programme with diet and activity in place, who understand it is adjunctive
Switch to a different GLP-1 agonist like semaglutide , which some people tolerate better
Some suggest splitting doses, others insist on single morning administration
But the studies included were small and only lasted about 3 to 4 months
We believe in empowering our patients with knowledge and resources
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