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In the mornings, the hotel gym was packed with wired, shiny-skinned guys grunting by the squat racks, making the hungover treadmill joggers and stair steppers self-conscious

Most patients notice reduced appetite within days and measurable weight loss within the first two to three weeks of starting treatment

Semaglutide has not been examined in patients with a history of pancreatitis

Insulins lead to marked HbA 1c reductions and have a lower risk of GI effects but can lead to weight gain and are generally associated with a higher risk of hypoglycaemia than GLP-1RAs, which would present significant occupational implications for this patient