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Additional information Competing interest The authors declare that they have no competing interests

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If you notice an unusually large air pocket (taking up a significant portion of the viewing window) or if the pen appears damaged, do not use it and seek advice from your pharmacist or prescriber

Some people benefit from small dietary adjustmentssuch as eating smaller, more frequent mealsto manage GI symptoms while continuing treatment

Ultimately, maximizing GLP-1 treatment effectiveness depends on structure, oversight, and adherence rather than medication alone

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