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Also, what are the effects of peptides and where does the evidence lie

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Hormonal changes can also lead to: slower metabolism increased insulin resistance loss of muscle mass higher cortisol levels from stress All of these factors make weight loss more challenging

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In general, weight-loss medications are only recommended for patients with a baseline body mass index (BMI) of 30 kg/m2 or higher (obesity) or 27 kg/m2 or higher (overweight) AND at least one of the following weight-related conditions: Cardiovascular disease High blood pressure High cholesterol Type 2 diabetes Obstructive sleep apnea Regardless of whether a weight loss medication is recommended, a balanced diet and adequate exercise are generally recommended in conjunction with Ozempic