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Virginias Monthly Check-In Requirement Virginias Board of Medicine requires: Follow-up within 30 days of starting weight-loss medication Monthly evaluations for the first several months Documentation of diet and exercise program for each patient For telehealth providers, this means scheduling monthly video visits during the initiation phase (can transition to quarterly once stable)

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Semaglutide works by slowing stomach emptying and reducing appetite signals in the brain, which can temporarily lower energy levels in some patients

Semaglutide works by increasing glucose-dependent insulin secretion, decreasing glucagon secretion, slowing gastric emptying, and promoting feelings of fullness

doi: 10.1016/S2213-8587(13)70214-6 231 DunganKMPovedanoSTForstTGonzlezJGAtissoCSeallsWet al