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You've tried diets and exercise but can't maintain weight loss BMI 27 with a weight-related health condition, or BMI 30 You struggle with intense hunger or food cravings You have prediabetes, type 2 diabetes, or insulin resistance Your hormones or thyroid may be contributing to weight gain You want medically supervised care not a meal replacement program You are uninsured or underinsured and want affordable, quality care "I had tried everything for five years

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Dose escalation is the standard clinical response to plateaus, but many patients reach a ceiling where further increases cause side effects or diminishing returns

Rare Disease Advisor Chae Y, Kwon SH, Nam JH, et al