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Follow-Up Visits and Outcomes Three-Month Check Weight: Down 3 kg (BMI 34 kg/m) HbA1c: Decreased to 7.8% from 8.6% Blood Pressure: Controlled at 128/80 mmHg Side Effects: Mild nausea during the first few weeks, which subsided with slow dose titration Six-Month Check Weight: Down a total of 6 kg (BMI 33 kg/m) HbA1c: Further improvement to 7.3% Cardiometabolic Indicators: Mild improvement in LDL cholesterol (from 110 mg/dL to 98 mg/dL)

Weight loss plateaus are a normal part of the process as your body adjusts to a lower weight and a new metabolic rate

Imad El Asmar , a board-certified internal medicine specialist boasting over 30 years of extensive clinical experience, we provide the highest standard of personalized patient care

It can be scaled in real time, shortened without guilt if nausea arrives mid-way, and split across the day if a continuous 30 minutes feels like too much