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Semaglutide's benefits are dose-dependent

For patients who need to lose 20-30% of their weight, Im honest that diet and exercise are essential for health, but alone they rarely achieve that level of weight loss

For severe nausea, eat smaller portions more slowly, avoid lying down after eating, limit high-fat and spicy foods, try ginger tea or crackers, and stay hydrated

These include cases where metformin is ineffective, contraindicated, or when a clients A1C remains above target levels despite three months of treatment if they also have conditions like atherosclerosis, heart failure, or chronic kidney disease (6)(16)

Im providing ongoing therapy or working closely with a therapist