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Wegovy needs a physician who manages titration, side effects, and metabolic monitoring across 5 monthly dose steps

Starting both simultaneously can amplify these sensations, making it harder to distinguish which drug is responsible and when symptoms will settle

Patients with congestive heart failure requiring pharmacologic management, in particular those with unstable or acute congestive heart failure who are at risk of hypoperfusion and hypoxemia, are at increased risk of lactic acidosis

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