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

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

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

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