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Response times may vary

If youve tracked food, increased activity, and tried multiple approaches over months or years, and the weight either will not move or keeps coming back, that pattern often points to underlying physiological resistance that diet alone cannot overcome

There are several overlapping reasons: Food stays in the stomach longer, which can extend fullness

Your provider may recommend a tapering approach or specific monitoring based on how long you've been treated

Ann Clin Transl Neurol

Though lower-priced starter doses as low as $149 are typically only used temporarily and are not representative of ongoing treatment costs