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The reasons underlying low uptake of medical therapy for obesity are complex, ranging from practical issues of insurance coverage and cost to concerns about safety and efficacy, as well as continued disease-related stigma, even among providers

Some patients report occasional computer glitches, double charges, or providers missing scheduled appointments

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American Association of clinical endocrinologists and American college of endocrinology comprehensive clinical practice guidelines for medical care of patients with obesity

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GLP-1 drugs (semaglutide, tirzepatide, etc.) can cause dehydration mainly because they: Reduce appetite less food and fluid intake Cause nausea, vomiting, or diarrhea in some people fluid loss Sometimes slow gastric emptying changing hydration cues This dehydration is systemic (whole-body), not just in one area