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Cardiac disease, pulmonary disease, active psychiatric instability, or any history that makes decompensation more likely should move the conversation away from casual home detox and toward monitored care

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Patients should understand pricing, visit fees, medication costs, follow-up expectations, cancellation policies, and whether there are contracts or startup fees

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However, its different mechanism of action, combined with a favorable safety profile, makes it an option some researchers consider alongside or instead of incretin-based therapies

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