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As you so rightly say when there are deficiencies, or metabolic dysfuntion the body is still in crisis at a cellular level, even though you are losing weight

GLP-1 Receptor Agonists in the Treatment of Type 2 Diabetes State-of-the-Art. Molecular Metabolism 46 (101102): 101102

It may be appropriate for patients who have previously tolerated similar medications well and are known to have low sensitivity to GI-related side effects

Different types of weight loss medication may have different side effects and different effects on your fertility or IVF protocol and success: Do weight loss injections affect IVF