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Patients should discuss their specific health goals, concerns about side effects, and financial considerations to develop appropriate treatment plans

The primary risk is wasting your $149/month medication investment without achieving your intended therapeutic benefit

Consider specialist referral if you have significant weight concerns affecting your physical or mental health

Metabolic signaling studies

In contrast, limited weight loss or persistent appetite should prompt assessment of medication exposure, dose escalation, gastrointestinal tolerability, adherence, treatment interruption, concomitant medications, dietary compensation, and behavioural drivers of eating, consistent with evidence that early response may help identify patients more likely to achieve clinically meaningful longer-term weight loss (93)

You're pregnant or plan on becoming pregnant while using B12 injections