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are obese, and about 1 in 13 are severely obese

14 Sinclair, M

Eating disorders are frequently underreported because of shame or the belief that the disorder is "in the past." A complete medical history including your relationship with eating, body shape concerns, and food is essential before any GLP-1 decision is made

Water retention, menstrual cycles, sodium intake, and other factors create weight fluctuations unrelated to fat loss

This is important because patients who dont lose weight on metformin are considered to be more resistant than others (and therefore more difficult to treat)
