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In patients focused on aesthetics, this catabolism exacerbates skin laxity in the arms, neck, and abdomen
That means: Building sustainable nutrition and movement habits while the medication creates biological space for change Addressing underlying metabolic drivers like insulin resistance and hormonal imbalances that make weight regain more likely Regular body composition tracking (not just scale weight) to catch trends early Having honest conversations about whether long-term medication may be appropriate, just as it is for blood pressure or diabetes management Risks, Side Effects, and Safety Considerations No medication is without risk, and transparency about potential side effects is something I consider a non-negotiable part of the physician-patient relationship

Like where do you think it becomes like, okay, this is an appropriate drug for you say its somebody who maybe on one end is saying, I just want to lose 15, 20 pounds, I exercise, I think I eat pretty, pretty healthy, not overeating, but I just cant drop the pounds

doi: 10.1210/jcem.86.10.8098
If you chose to go forward you will be required to have bloodwork and fill out a medical questionnaire to make sure you are a good candidate
