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There was never a reason to include them

GLP-1 receptor agonistsincluding Ozempic, Mounjaro, Semaglutide, and Tirzepatidehave been prescribed (on-and-off label) for weight management, including obesity, along with a reduced caloric diet and increased physical activity

10.1001/jamasurg.2022.6855 54 ThompsonB.WaterhouseM.EnglishD

Problems arise when insulin is repeatedly stimulated and rarely allowed to fall

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