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Weight loss is not the primary goal during weeks 1-8

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Persistent insomnia beyond 4-6 weeks despite implementing all strategies in this guide suggests either an unrelated sleep disorder or a contributing factor that has not been identified

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In addition, those who are overweight and have had difficulty losing weight through diet and exercise alone may also be considered

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Patients should use FDA-approved medications like Mounjaro and Zepbound unless a provider confirms a medical necessity

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