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Ideal candidates for our program often have a body mass index (BMI) of 30 or higher, or a BMI of 27 or higher with weight-related health conditions such as type 2 diabetes, hypertension, or sleep apnea

When a GLP-1 turns down the constant background hum of food thoughts, most women feel relief, but a few feel unexpectedly flat, and in perimenopause that flatness tends to get blamed on hormones or on the medication when it is really worth a careful look at both

Other GLP-1 receptor agonistsincluding efpeglenatide in AMPLITUDE-O [35], as well as exenatide, lixisenatide, and cotadutideshow class-consistent reductions in albuminuria and favorable eGFR trajectories

There is also an overlap in side effects

Low levels of vitamin B12 and vitamin D could be the reason