It is not insulin-based and is often taken in conjunction with insulin
We also discuss ways to resolve trauma, build stress tolerance, increase intrinsic motivation and even change temperament
If you find yourself eating when you're not physically hungry due to stress, boredom, sadness, or habit, you might need additional support beyond medication
What to Expect in Months 7-11 Essentially no side effects: Appetite suppression continues (desired effect), but GI symptoms gone Weight loss velocity slows: From 0.8kg/week (months 3-6) to 0.3-0.5kg/week Plateau around week 40-48: Weight stabilizes, no longer losing despite continued medication Total weight loss: Average 20-24% from baseline (matching or exceeding surgical outcomes) Focus shifts to maintenance: Accepting current weight, preventing regain Plateau frustration: Not a side effect but an emotional challenge 2 Final Strategies for Months 7-11 20
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