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Everyone reacts differently, so physicians typically recommend a combination of medicine, lifestyle adjustments, and consistent encouragement for optimal outcomes

We also track muscle mass and body composition, not just the scale, because losing weight the wrong way creates new problems

Risk Stratification & Contraindications Patient safety must guide the initiation of GLP-1 therapy, and therapy should be withheld if contraindications are present: Absolute Contraindications: Personal or family history of Medullary Thyroid Carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) Cautionary History: Previous pancreatitis or gastroparesis 5

A next generation probiotic, Akkermansia muciniphila