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They will consider your weight loss goals, your medical history, any comorbidities (other illnesses you may have) and whether medication in tandem with lifestyle modifications could be useful to you

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The package inserts for both semaglutide and tirzepatide list a series of warnings and precautions that include thyroid tumors, acute inflammation of the pancreas (pancreatitis), acute gallbladder disease, acute kidney injury (that may stem from dehydration due to excess vomiting or diarrhea), allergic reactions, a heightened risk of bottoming out blood sugars while on blood sugarlowering medications, worsening eye disease for those with type 2 diabetes, an increase in heart rate requiring monitoring, and suicidal thoughts and behaviors
