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If they whine give them some but tell them they dont need it, its just that they have become dependent upon it
Patients with any of these conditions should document them openly in their intake rather than attempting to navigate around the screening both for safety reasons and because a provider who identifies an undisclosed contraindication will decline to prescribe regardless
(This is based on when you started the medication not your current weight) BMI of 35 or higher when you started, OR BMI of 30 or higher AND a serious heart or kidney condition, OR BMI of 27 or higher AND a history of heart attack, stroke, or pre-diabetes 3
[1] [8] These mechanisms lead to improved glycemic control and significant weight loss in clinical trials
