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Even if GLP-1s have lower efficacy than an existing treatment (and there are indications that they may have higher efficacy), if they can reach many times more people, the overall public health impact would be massive

If nausea persists during dose increases, your healthcare provider might adjust your plan by extending the current dose for an additional 2-4 weeks, pausing further increases until symptoms improve, or temporarily lowering the dose

Even then, you wont have any guarantee that itll be covered

Similarly, respiratory symptoms such as cough, shortness of breath, or chest pain warrant assessment, as these are not attributable to the medication

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For example, a 2023 study in the UK found that 57% of adults attributed being overweight primarily to a lack of willpower (Puhl and Liu, 2015)