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This increased level of insulin has two primary consequences for weight - It signals your body to store fat, particularly visceral fat around the abdomen It drives the ovaries to produce more androgens (male hormones), which further disrupt appetite, energy, and metabolism More visceral fat = more insulin resistance = more androgens = more insulin

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In clinical practice, nausea typically peaks during the first 48 weeks and subsides as the body adapts to the medication

Arbutin Helps reduce pigmentation

Common reasons for transitioning: Better results: Patients seeking greater weight loss than Saxenda provides