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lets first talk a little bit about, Ali, I know you recently authored a piece in HBR, Harvard Business Review, I think October 25

567 A comprehensive medication review is necessary to identify and discontinue medications that may impair gastric motility

Inconsistent dosing may trigger nausea, dizziness, or irregular appetite suppression as your body adjusts to fluctuating medication concentrations

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Vomiting on Ozempic was reported in 5 9% of patients in clinical trials