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It highlights the confusion here

Depending on how long youve been off the medication, they may recommend restarting at a lower dose and re-titrating upward to reduce the likelihood of gastrointestinal side effects

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Abbas Key Points One shouldnt consider GLP-1s to be a lifelong therapy GLP-1s can be useful in training for lifestyle change GLP-1s have an upper limit of effectiveness that may not work for 40+ BMI patients Medication and surgery can work symbiotically With the advent of weight loss-approved GLP-1 drugs like Wegovy and Zepbound, there is renewed hope in the fight against excess weight and obesity