Because it is difficult to pinpoint a particular cause, diagnosis is more a matter of ruling problems out
For example, in a study where obese volunteers had unlimited access ( ad libitum ) to three meals (lunch, dinner and snacks), it was observed that treatment with semaglutide (1 mg/wk) caused a 24% decrease in energy intake during the day, leading to a reduction in body weight of approximately 5 kg after 12 weeks of treatment
Consider requesting a slower dose escalation schedule to reduce gastrointestinal side effects and associated dehydration
Hinke SA, Gelling RW, Pederson RA, et al
AM: Vitamin C & VItamin E, SPF, polypodium 480 mg Midday: Sunscreen reapplication, polypodium 480 mg PM: Melatonin 2-4 mg taken nightly The combination of choice will be determined by your physician at The Melasma Clinic