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[24] In 2020, the FDA approved two higher doses of the medication, 3.0 mg and 4.5 mg, based on results of the AWARD-11 trial demonstrating improved glucose lowering and weight benefits

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Without that support in place, even the best medication may fall short or cause real harm
Add in constipation , bloating, acid reflux, and occasional diarrhea, and you have a recipe for intimacy avoidance that has nothing to do with hormones or neurotransmitters
