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Situations where a conversation with a clinician is especially important include: History of heart disease, stroke, high blood pressure or peripheral arterial disease Chronic kidney disease or significant liver disease Diabetes or major endocrine issues Use of blood pressure medications, nitrates, anticoagulants or other complex medication regimens Pregnancy, breastfeeding or trying to conceive The use in individuals under the age of 18 High protein diets may not be appropriate for everyone, and peptide therapies or IV infusions require valid prescriptions from providers

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Es importante discutir con su mdico si: Ha ganado peso o su peso se ha estancado despus de una prdida inicial Sus niveles de glucosa en sangre permanecen consistentemente elevados Los efectos secundarios gastrointestinales no mejoran despus de 4-6 semanas Tiene dificultades para adherirse al rgimen de inyecciones Est considerando suspender el medicamento por cualquier razn Presenta signos de deshidratacin o problemas renales Su mdico puede realizar evaluaciones adicionales, incluyendo revisin de la tcnica de inyeccin, anlisis de laboratorio para descartar otras causas de resistencia al tratamiento (funcin tiroidea, niveles de cortisol), y evaluacin de medicamentos concomitantes que puedan interferir