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Also, a small cross-sectional study of 36 women with PCOS noted no changes in depression scores associated with liraglutide use over 6 months 204 , while another reported worsening depressive symptoms, which correlated with higher perceived stress scores, in 43 exenatide users with diabetes and obesity against non-users at 3 months 205

GLP-1 activity promotes satiety, slows gastric emptying, and improves insulin secretion, while glucagon receptor stimulation supports fat burning and may elevate basal metabolic rate

Medication alone cannot rewrite habits, so our clinical protocol is inseparable from daily cognitivebehavioral lessons, AIsupported food logging, gamified habits and tracking, and support from a health coach