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It should not be surprising that a Medicaid managed care model has such a varied track record

Talk about your weight loss goals, your tolerance for potential side effects, and your insurance coverage

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If the plateau persists beyond six weeks despite optimizing these factors, discuss a protocol review or potential switch to a dual agonist option with your provider

The ones who benefit most are those with elevated baseline ALT, visible hepatic steatosis on imaging, or mid-afternoon fatigue that doesn't resolve with caffeine