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They do this primarily by regulating appetite, slowing gastric emptying and improving metabolic function through hormone signaling pathways

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This may be due to the improved self-esteem that comes with weight loss or the reduction in blood sugar spikes, which can trigger mood swings

Using insurance records from more than 60,000 Americans, researchers found that 4 in 10 patients stopped taking the medications within the first year, and nearly 6 in 10 stopped within two years

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After four weeks, the dose typically increases to 0.5mg per week for another four weeks, then continues titrating upward