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Bret: I really admire your passion and appreciate your passion and your enthusiasm, and your approach from a research standpoint, and for all you do from an advocacy standpoint, and all you do to help the field of psychiatry move forward with a message of hope, like you just said

Patient-specific factors Choice of GLP-1 medication also depends on certain factors like the presence of renal or hepatic issues, history of severe gastrointestinal side effects (gallstones, severe stomach pain, and pancreatitis), blood sugar levels, and weight loss goals

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thats why the cardiologists do that

We combine physician-guided medical therapy with metabolic testing, body composition analysis, required laboratory evaluation, nutrition support and functional medicine strategies to help patients lose weight in a healthier, more sustainable way

J Pediatr 127(3):414420