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Hatipoglu also recommends a gradual step-down approach for weight loss

It showed that the relative risks for aspiration, aspiration pneumonia, pneumonia, or respiratory failure were not elevated in patients prescribed GLP-1 RA compared to those receiving dipeptidylpeptidase-4 (DPP-4) inhibitors [21]

Reward, dopamine and the control of food intake: implications for obesity

The low discontinuation rate, combined with significant weight loss and metabolic benefits, supports the conclusion that semaglutide maintains a favorable benefit-risk profile for most users under appropriate medical supervision

It just does not work as well