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and those with lower incomes

This doesn't just affect the stomach - it changes how the entire gastrointestinal tract works by suppressing normal digestive patterns

Medullary thyroid carcinoma (MTC) is a theoretical but serious contraindication

Women with Lipedema have unique metabolic, digestive, and inflammatory patterns, and medication dosing must be carefully tailored

It requires careful titration, starting low to minimize nausea, then gradually increasing to a therapeutic level
