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Serious events remain rare with proper screening and monitoring
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In fact, participants experienced sustained weight loss averaging 2021% at the highest doses, with improvements in metabolic markers including blood pressure and inflammation indices

State-by-state note: California, Arizona, Texas, and several other states require Costco to fill prescriptions for non-members without the markup

Tracking your progress systematically helps you and your provider make informed decisions about dose adjustments, timeline expectations, and when to transition to maintenance
