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Although the study reports that the majority of these were mild/moderate (and only 4.5% discontinued treatment due to GI side effects) you do wonder if this had an impact on the weight loss

Obes Rev 2021;22:e13210

First off, you should be completely open and upfront with your prescriber about any medical conditions you have or might have had in the past, particularly any issues concerning your pancreas, kidneys, or thyroid

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You should also ask whether weight loss is realistic for your body, how to protect muscle while losing weight, what side effects you can expect, what happens when you stop taking the medication, and whether your insurance covers your treatment

Prediabetes (A1C between 5.7% and 6.4%) doesnt qualify under either approval