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Common experiences: Noticeably decreased appetite Early fullness Mild nausea Less interest in snacking What your medical weight loss plan includes: Starting at the lowest effective dose Hydration goal: 100 oz/day Protein goal: 100-150g daily Constipation prevention plan (may include fiber, magnesium glycinate, hydration) Week 1 priority: Learning to listen to your body without skipping essential nutrition

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Under a monthly membership agreement, Costco members enter a straightforward system with a universal intake policy