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De Schutter A, Lavie CJ, Milani RV (2014) The Impact of Obesity on Risk Factors and Prevalence and Prognosis of Coronary Heart DiseaseThe Obesity Paradox

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However, patients must initiate the conversation with their doctor, which may present a barrier if they lack an established relationship or if their provider is unfamiliar with GLP-1 compounding

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At that point, moving to the next dose level with your clinician's guidance makes clinical sense
