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Maintenance doses (4mg weekly) cost approximately $3,600-6,000 annually versus $12,000+ for retail pharmaceuticals
GLP-1 medications work by reducing appetite and blood sugar, and fatigue during this transition does not indicate that weight loss or metabolic benefits are not occurring
Ghrelin the hunger hormone produced by the stomach may stay elevated when it should drop after eating
Use prespecified methods for missing data, then show sensitivity analyses
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