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Clinical assessment at each follow-up visit should include evaluation of weight loss progress, medication tolerance, and symptoms potentially related to liver disease (fatigue, right upper quadrant discomfort, jaundice)

This precautionary approach, while not a labeled restriction, represents good clinical practice

The medication is a synthetic version of a hormoneglucagon-like peptide 1your body already produces and uses to curb cravings

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Genetic variants in the GLP-1 receptor, differences in gut microbiome composition, and carnitine metabolism may all play a role