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A patient with a BMI of 27kg/m2 or higher who also suffers from symptoms of weight-related health conditions such as high cholesterol, high blood pressure, and/or Type 2 diabetes

This risk is highest several hours after drinking or if you skip meals while consuming alcohol

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Andreadis P, Karagiannis T, Malandris K et al (2018) Semaglutide for type 2 diabetes mellitus: a systematic review and meta-analysis

The trainer can be perfectly well intentioned and still cannot fix any of the four risks listed above, because none of them are within a trainers scope to control