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Your physician assesses whether medications represent necessary intervention for your situation or if optimizing thyroid function, addressing insulin resistance, correcting nutritional deficiencies, improving sleep, and managing stress might achieve weight loss goals without adding expensive prescription medications

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Side effects are rare but may include mild fatigue, light nausea, or a slight headache

Before GLP treatment (blue curve), minimum HR initially increases slightly when exercise exceeds the rolling baseline but then declines substantially at very large deviations

Endoscopic procedures, particularly endoscopic sleeve gastroplasty, offer a favorable safety profile and are an alternative for patients who do not want to undergo metabolic-bariatric surgery, though they currently lack insurance coverage in the United States