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If you lose more than 5% of your body weight in the first three to four months on an obesity medication, then youre more likely to maintain that body weight after 12 months, reports Dr

For type 2 diabetes, NICE-recommended alternatives include metformin (first-line), SGLT2 inhibitors, DPP-4 inhibitors, and insulin therapy, each with distinct mechanisms and side-effect profiles

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If youre also taking insulin or other diabetes medications, this combination becomes particularly risky