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Weight and weight-related stigma can be one contributing factor among many, but theyre rarely the whole picture

Scans and an endoscopy revealed a culprit straight out of a medical curiosity shop: a gastric bezoar, which is a tightly packed, hardened blob of partially digested food trapped in the stomach

For oral semaglutide, follow the strict fasting requirements (take 30 minutes before first food or other medications with no more than 4 ounces of water)

For diabetes management, if HbA1c remains above target despite maximal tirzepatide dosing, combination therapy with metformin, SGLT2 inhibitors, or basal insulin should be considered based on individual patient factors and contraindications