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Its FDA-approved for weight loss usage, so you know its safe

To support tolerance, GLP-1 treatment is started at a low dose and titrated upward, which helps reduce gastrointestinal side effects like nausea that can affect 20% to 40% of patients when treatment begins , as noted in the earlier payer-focused clinical guidance

It may also be possible that Ozempic disrupts metabolic and hormonal signalling pathways, such as the insulin/IGF-1 pathway

An International, Multicentre Cohort Analysis"

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So it's sort of like they burn calories better, maybe it preserves muscle more