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Ozempic (and its cousins Wegovy, Mounjaro, etc.) work primarily by acting on the brains appetite centers and digestive tract: they make you feel full sooner, slow gastric emptying, and improve insulin sensitivity, which together lead to eating less and storing less fat
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Discuss all risks and benefits with your doctor, especially if you are pregnant, breastfeeding, or have a history of heart, kidney, or electrolyte disorders
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