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Key Consideration: GLP-1 medications are typically used as long-term treatments rather than short-term interventions

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If three or more cortisol indicators persist (wired at night and tired in the morning, 2 to 3 pm crash, evening cravings without hunger, disrupted sleep, stalled loss despite adherence), consider diurnal salivary cortisol testing (section 9)

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The most common reports include mild redness at the injection site and occasional fatigue during the first few days as the body adjusts to increased AMPK activation

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