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[5] Some groups may need year-round supplementation

The dual-receptor mechanism produces maximum fat reduction over 6-12 months of treatment

Your program includes: Initial medical evaluation metabolic assessment, lab work, and candidacy review Monthly monitoring dose titration, side effect management, and progress tracking Metabolic lab work HbA1c, lipid panel, kidney and liver function, fasting insulin Optional CGM during titration a 2-week continuous glucose monitor (patient-purchased OTC, $89) tracks your real glucose response to the medication, catches early hypoglycemia, and helps fine-tune dose and timing

In addition, some neurons from the PVN project to the olfactory tubercle 48 , a direct target of the OB for the hedonic regulation of smell