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Host: When should someone consider escalating from medical weight loss to metabolic or bariatric surgery, if medications, including these GLP-1 alternatives are ineffective
Both options offer similar weight loss benefits through the GLP-1 pathway
The usual Wegovy weight-loss ladder is 0.25 0.5 1.0 1.7 2.4 mg weekly, holding each step at least 4 weeks
The addition of basal insulin to metformin for dual therapy is considered the highest efficacy option according to the ADA Standards of Care
The shot is quick and easy to repeat often, which is why it works well as a weekly visit woven through a longer-term plan
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