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Before any protocol is designed, our physicians review your: Complete health history and current medications Metabolic labs: fasting glucose, HbA1c, insulin, thyroid, lipid panel, CMP Body composition analysis (not just scale weight) Weight history and prior attempts at weight management Cardiovascular risk factors Goals total weight loss, body composition, or metabolic health optimization Most patients start on a conservative titration schedule doses increase gradually over 812 weeks to minimize GI side effects

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