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Dose reduction may work for select patients, but complete discontinuation remains difficult without alternative therapies or a multidisciplinary approach

Lower glucagon levels also contribute to a lower overall appetite

These can include chronic kidney disease, hypertension, diabetes, insulin resistance, obesity, metabolic syndrome, autoimmune or inflammatory disease, and HFpEF

One study found that 90% of individuals experienced adverse side effects in the first eight weeks of treatment, while another study found that 70% of diabetes patients discontinued use after 2 years due to feeling chronically sick

With a Doctorate in Physical Therapy, and specialized certifications in Womens Health and Pelvic Rehabilitation, Dr