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Experts say rapid appetite suppression and calorie reduction can affect nutrient intake, muscle mass, bone density, heart health, and metabolic balance if patients are not closely monitored

*Hormonal birth control was defined using claims for oral contraceptives, the patch, vaginal ring, implant, hormonal intrauterine device, and injectable medroxyprogesterone acetate in the two years before diagnosis

Mounjaro may show slightly higher rates at maximum doses (nausea ~30% at 15 mg), while Rybelsus daily dosing may provide a tolerability edge through more gradual drug exposure

For many patients struggling with obesity, this is the time to ask the hard questions: Are the medications or medical weight loss programs achieving what you need long-term

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