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There are no lower-cost generic alternatives for either of these drugs

The Missouri bans are in effect

Escalation: If tolerated, the dose is increased to the next level (e.g., 7 mg, then 14 mg) every 4 weeks

Commenters responded from multiple angles some identifying signs of body dysmorphia and eating disorders, others emphasizing the importance of strength training while on GLP-1s, and many addressing the original poster's ambivalence about leaving