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It is generally avoided in pregnancy, in people with certain gastrointestinal conditions, and where a clinician identifies a contraindication during screening

It has to do with the healthcare debt, right

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Patients should seek urgent medical attention if they experience severe persistent abdominal pain (which may indicate pancreatitis), persistent vomiting/dehydration, jaundice, acute visual changes, or hypoglycaemia if on insulin or sulfonylureas

GLP-1 medications may help regulate appetite signals, which can help some patients feel fuller longer and reduce excessive cravings as part of a structured plan