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The good news is that semaglutide, the same active ingredient in Wegovy, can be obtained through other channels at a significantly lower cash price

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"GLP-1 medications can cause significant changes in water retention and digestive transit time , leading to scale fluctuations that don't reflect true fat loss progress ." Clinical Obesity Research, 2023 How does glycogen storage affect your weight on the scale

Those are population descriptions rather than a target for any individual, and the article routes the actual decision to a provider