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Many people notice reduced appetite within the first few weeks, though meaningful weight loss builds gradually over months as the dose is titrated upward

My prescription was approved the next day

However, reduced fluid intake, digestive side effects, and rapid weight loss may indirectly increase the risk in some individuals, making hydration an important part of treatment

CrossRef Modeling energy intake by adding homeostatic feedback and drug intervention Peter Gennemark, Stephan Hjorth, Johan Gabrielsson Journal of Pharmacokinetics and Pharmacodynamics.2015

Theyre triggered by specific metabolic, inflammatory, and liver stress patterns in the blood work

If glucose readings are elevated, checking for ketones may be warranted, particularly if accompanied by symptoms such as nausea, vomiting, abdominal pain, rapid breathing, or confusion, which could indicate diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS) requiring urgent medical attention