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Unrealistic Expectations Not losing weight on semaglutide is a problem

Encuesta Nacional de Salud 2016-2017, Ministerio de Salud, Chile.

The most effective prevention strategy combines adequate protein intake (1.0-1.2 grams per kilogram daily), comprehensive micronutrient supplementation from day one, gradual dose titration to moderate the rate of weight loss, maintaining a caloric floor, and baseline blood work to identify and correct pre-existing deficiencies

It was the difference between losing mostly fat and losing a concerning amount of muscle

Consider dosage reduction or discontinuation of QSYMIA if clinically significant or persistent symptoms occur