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Over just a few weeks, she lost nearly 20 pounds, dropping to a dangerously low weight

Incretin A class of gut hormones that stimulate insulin release in response to food

And it certainly is going to take longer than two months to get to the health status that would allow for you to sustain that new weight without the drug. That sentence is basically this whole article

Article PubMed Google Scholar Gregori, N., ikonja, J., Jane, A

When lifestyle factors are the bottleneck If you are consuming excess calories despite appetite suppression (eating through fullness signals), not exercising, sleeping poorly, or under chronic stress, a receptor reset will not fix these issues