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Clinicians avoid prescribing GLP-1 agonists for individuals with a personal or family history of medullary thyroid cancer, multiple endocrine neoplasia type 2A (MEN 2A), or type 2B (MEN 2B) (51)(53)

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These medications have changed the landscape of obesity management and metabolic health, says Dr Tan

Solutions Track multiple metrics: measurements, photos, strength numbers, not just scale weight Schedule body composition testing (DEXA or equivalent) every 8-12 weeks Set process goals (hitting protein targets, training consistency) rather than only outcome goals Compare photos from 3+ months apart rather than weekly Remember that sustainable progress compounds over time Challenge: Social Eating Situations Reduced appetite can make social situations involving food awkward