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You've also said and I think this is something else we've learned over that time that obesity is not one thing

We want to treat obesity as a whole and for long term
Patients with normal or near-normal BMI often qualify for GLP-1 therapy based on type 2 diabetes diagnosis, cardiovascular risk factors, or metabolic markers indicating therapeutic benefit

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TRT is also not recommended if you have heart issues including: Uncontrolled heart failure A recent heart attack (within six months) Untreated high blood pressure Patients with other cardiac issues, if well managed, may be treated but require close cardiac monitoring, says Staheli TRT may also not be advised if you have sleep apnea