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I think the real risk might be in how quickly weight is lost and on each individuals baseline health

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Month 4 (Weeks 13 through 16): 10mg weekly The high-dose range begins here

When they can easily track protein and fluid intake on their Dashboard, along with medication dosing, symptoms, and weight trends, it becomes much easier to communicate with their healthcare team and feel confident they are on track for long-term success," said Sue Heikkinen, MS, RDN, CDCES, BC-ADM, ACE-PT, Lead Dietitian and Clinical Reviewer at MyNetDiary

FDA approved Ozempic for reducing the risk of worsening kidney disease, kidney failure, and cardiovascular death in adults with type 2 diabetes and chronic kidney disease