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Meal planning is important

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This is an opportunity for us to understand your unique background, including your medical history, lifestyle, and any challenges you may have faced in your weight loss efforts

Among all reported side effects, gastrointestinal issues remain the most common and disruptive for users of weight loss drugs, particularly those classified as GLP-1 agonists

this difference may result from a ~5x stronger effect produced by GLP-1 analogs, compared to DPP-4 inhibitors (Charbonnel & Cariou, 2011) No change in weight Contraindications: type I diabetes (these patients lack pancreatic beta cells) diabetic ketoacidosis (it would not be effective for treating this condition) an association between DPP-4 inhibitors and heart failure has been observed for two members of this drug class in patients with type 2 DM and atherosclerosis