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NICE guideline CG189 on obesity management recommends that patients who have undergone bariatric surgery receive ongoing monitoring of nutritional status, weight, comorbidities, and psychological wellbeing
What does this lead to
In a phase II study, gastrointestinal side effects were most common during semaglutide dose escalation but weight loss persisted beyond these events and continued through the 52-week trial period [51]
If your genetic profile suggests reduced GLP1R sensitivity (rs6923761 variant), your provider may recommend starting tirzepatide or a higher baseline semaglutide dose rather than forcing tolerance to a compound that may never feel optimal for your body
My Google Meet consultation was the most information-heavy appointment Ive had at any GLP-1 clinic
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