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Energy Balance Dysregulation Obesity develops when caloric intake chronically exceeds energy expenditure

Wegovy Dosing Information Wegovy Recommended Dosage Initiate Wegovy with a dose of 0.25 mg injected subcutaneously once-weekly and follow the dose escalation schedule below to minimize gastrointestinal adverse reactions Week 1 to week 4: 0.25mg weekly Week 5 to week 8: 0.5mg weekly Week 9 to week 12: 1mg weekly Week 13 to week 16: 1.7mg weekly Week 17 onwards: 2.4mg weekly If patients do not tolerate a dose during dose escalation, consider delaying dose escalation for 4 weeks The maintenance dose of Wegovy is 2.4 mg injected subcutaneously once-weekly

The missing piece might be vitamin b12

The primary difference is modality, not standard of care