Many people find that excess abdominal skin affects their self-confidence and body image, limiting clothing choices and social activities
This is a reason why GLP-1 medications work best within a broader health program that includes nutrition guidance and physical activity rather than as a standalone intervention
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However, compared to endoscopic sleeve gastroplasty, semaglutide is less cost-effective over 5 years with the same outcome parameters and a current annual price of approximately $13,618 in the US [144, 145]
Step 5: Continue with ongoing support
Vitamin B12 is usually safe, but high doses can cause serious health problems