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The article is explicit that you should not self-adjust

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That includes proactive management of side effects, candid conversations about the long-term nature of treatment, infrastructure to identify and support patients at risk of stopping and addressing the cost barriers that make GLP-1 therapy unsustainable for many. These measures are especially important, Al-Aly noted, because the cardiovascular protection provided by GLP-1 medication builds slowly, but it erodes quickly

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The American Diabetes Association Standards of Care and obesity treatment guidelines from organizations like the American Association of Clinical Endocrinology recommend comprehensive obesity management incorporating both pharmacological and behavioral interventions