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Slower digestion : These meds slow down how fast your stomach empties, which means your body may stay in a low-energy, low-burn state longer throughout the day

Your hormones, your stress levels, your lifestylethey all matter

Of course, like any drug, these medicines do have downsides

Some women find that maintaining a lower dose (for example, 1.0 mg rather than escalating to 2.4 mg) achieves adequate weight loss with fewer side effects, including sexual ones

These effects typically peak during dose titration and improve over time but cause 20-50 percent of patients to discontinue treatment within the first year

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