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In type 1 diabetes, the immune system destroys the cells that make insulin

Pros: Strong average weight loss results Weekly injection schedule Helps regulate appetite throughout the day May improve blood sugar levels Often effective for obesity and overweight patients Cons: Common side effects include nausea, constipation, and diarrhea Can feel expensive without insurance Some people experience fatigue early on Not recommended for people with a family history of medullary thyroid carcinoma 2

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Ensure patients are given information on hygiene measures and the rare risk of necrotising fasciitis of the perineum (Fourniers gangrene)