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However, post-marketing surveillance and patient reports have documented some individuals experiencing anxiety symptoms or panic-like episodes whilst taking GLP-1 receptor agonists

Heise T, Mari A, DeVries JH, Urva S, Li J, Pratt EJ, et al

The research indicates that you shouldnt need to cancel for medical reasons, but if you did, there is a partial refund process, however convoluted
Andres Splenser, MD, an endocrinologist at Memorial Hermann, who was not involved in this study, suggested that the link may have something to do with the relationship between mood and appetite, among other potential factors

These effects diminish significantly by week 3-4 as your body adapts
