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Your doctor may refer you to be evaluated by an allergist

Gut dysbiosis (an imbalance in the microbiome) has also been shown to lead to GLP-1 resistance, meaning your body doesnt properly respond to GLP-1 even when its released

Individuals with a history of eating disorders, depression, anxiety, trauma, or substance use concerns are encouraged to consult both medical and mental health professionals when considering GLP-1 treatment

If standard doses are not tolerated, clinically appropriate alternatives might include slower titration (still within SmPC guidelines), switching to a different GLP-1 receptor agonist, considering other medication classes, enhancing diet/lifestyle support, or specialist review

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