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Kimberly Gudzune, M.D., medical director for the American Board of Obesity Medicine and an associate professor of medicine at Johns Hopkins

Genetic Factors in Weight and Gut Response Individual genetic variations influence how your body responds to GLP-1 medications and how your gut processes food

This is especially true if an individual is already taking other medications for diabetes

A history of pancreatitis or medullary thyroid cancer are reasons not to use these medications

Common effects like nausea, diarrhea, and fatigue are typically manageable and may lessen over time, but some side effectssuch as thyroid issues or pancreatitisare rarer and more serious

compounded GLP-1 provider so it's worth flagging once, here