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If your results have slowed, your provider can review your treatment schedule and whether your current plan is still appropriate
But that is different from people with advanced liver disease or liver failure

In the SURMOUNT-1 trial, patients taking the highest dose achieved up to 22.5% average body weight reduction over 72 weeks

Others are soothed by PAPs or purchasing larger vials, which reduce per-milligram costs
However, you should always consult with an eating disorder specialist before using them

However, along with these risks come some anecdotal stories of unusual benefits that warrant research
