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This does not mean they are unsafe

Theres no official meal plan attached to these medications, but there is a consistent, well-documented pattern in how clinicians and dietitians guide patients through eating less while still eating well

Matsunami explains

The medication is administered once weekly via subcutaneous injection, with doses ranging from 2.5 mg to 15 mg

Dual and triple incretin-based co-agonists: novel therapeutics for obesity and diabetes