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Ganju said

Contrave: Nausea, constipation, headache, insomnia Increased blood pressure and heart rate Other effects: anxiety, dizziness, dry mouth, tremors, risk of seizures in susceptible individuals Serious risks: liver problems, severe allergic reactions, neuropsychiatric events, including mood changes or suicidal thoughts Wegovy: Gastrointestinal issues: nausea, vomiting, diarrhea, constipation, abdominal pain Other effects: fatigue, headache, dizziness (especially during dose escalation) Serious risks: pancreatitis, gallbladder disease, thyroid tumors in high-risk patients, increased heart rate Important: Neither medication is a cure for obesity

Here is what the letter said, and what it did not say

Deficiency rates in GLP-1 users, per Butsch et al., 2025: vitamin D 7.5% at 6 months rising to 13.6% at 12 months

2020Glucose-dependent insulinotropic polypeptide (GIP) and cardiovascular disease

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