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Does it happen shortly after taking semaglutide or during physical activity

Alternatives might include switching to a different GLP-1 medication (some patients tolerate one better than another despite similar mechanisms), reducing the maintenance dose to a level that produces fewer GI effects while still providing benefit, or transitioning to tirzepatide or another agent in the class

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Based on this, the provider creates a personalized plan that may include nutrition coaching, activity guidance, behavioral support, and medications or injections if appropriate

However, most effects on body weight are modest and tend to range between 2 to 4% body weight reduction (reviewed in Davidson, GLP-1R agonism in combination with the adjustable gastric band Bariatric surgery is by far the most effective therapy for weight loss reduction and improvements in glucose metabolism (Pories, 2008)