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Switching may be considered for several reasons, including: Inadequate weight loss results Side effect intolerance Changes in insurance coverage Plateauing on current medication Seeking stronger appetite suppression or satiety Most transitions involve cross-titration, gradually adjusting doses to minimize gastrointestinal side effects and support a smooth switch

Ask which option you will receive and why

But if any scientists want to kickstart a study, you know where to find me

Ottawa, Ontario

A months supply cost R3 000

For some people, this means purchasing the drug from an international manufacturer or compounding pharmacy to access non-standard doses, explains Mitch Biermann, MD, PhD , an internal and obesity medicine specialist at Scripps Clinic