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At a maintenance dose of 2.4 mg weekly (Wegovy), it engages three major weight-loss mechanisms simultaneously

Taste changes may result from gastrointestinal side effects such as nausea and reflux, dehydration, ketosis from rapid weight loss, or altered gastric emptying caused by the medication's effect on GLP-1 receptors

Maintaining adequate levels theoretically preserves cognitive function during weight loss

However, it is important to note that not all symptoms resolve completely , especially if neurological damage was severe or prolonged before treatment commenced