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It is still modulating reward circuitry

The Dr attached to my profile is so helpful and always available and responsive - with sound advice

BMI screens for weight categories that may lead to health problems, but it does not diagnose the body fatness or health of an individual

A balanced, calorie-controlled diet rich in lean proteins, vegetables, and whole grains supports both glucose control and weight loss

Garcia-Webb advises caution because you might not be getting the exact same medication that the pharmaceutical companies are selling, given that the FDA does not do rigorous safety checks on compounded meds

A common pattern is modest initial loss (partly water weight, partly from reduced intake), followed by a slower-looking middle period where fat loss is happening but the scale isn't moving dramatically