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It is long-term metabolic health, stable appetite regulation, improved quality of life, and sustainable weight control

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The maximum approved dose is 14 mg once daily

Free Radic Biol Med 40:21552165

We do not yet have clear answers on: Long-term safety Optimal dosing strategies Metabolic interactions Effects on weight loss outcomes Some patients who stop GLP-1 treatment may see lost weight return over time

If cost is what pushed you toward looking at Canada, that is a solvable problem worth raising directly with a prescriber, alongside coverage appeals and manufacturer support programs