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Many experience increased hunger, the return of "food noise," changes in blood sugar control and the loss of some cardiometabolic benefits, while side effects like nausea and constipation often improve

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Patients using multi-dose pens should write the date of first use on their pen and set reminders for disposal

Approval usually depends on provider documentation, lifestyle changes, and, sometimes, step therapy, which requires that lower-cost treatments or programs be tried first

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They'll also have access to a range of psychology-based programming and tools to help keep them from losing muscle mass, such as features for tracking protein intake and engaging in resistance training, Noom said