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Description

The titration protocol exists because GLP-1 receptor agonists cause gastrointestinal side effects, primarily nausea, that are dose-dependent

Ray et al

The medication protocol is not prescribed for those with a BMI under 30, active eating disorders, gallbladder disease, history of substance abuse, very recent bariatric surgery, pancreatitis, thyroid cancer, or other specific exclusions

In addition, says Deborah Beck Busis, LCSW, director of the Beck Institute Weight Management Program, they must meet at least three of these criteria: They eat much more rapidly than usual