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Medical Weight Loss Program Initial Visit At your initial visit, your provider will take your starting weight and BMI, review your medical history, short and long term goals, options for medications, lifestyle and therapeutic changes, review a dietary plan, and lastly, make tailored recommendations

Though this is not usually dangerous, it can feel uncomfortable and may raise concerns

GLP-1RA activate the cAMP/PKA pathway leading to phosphorylation of sodium-hydrogen exchanger 3 (NHE3) in renal proximal tubular cells, increasing natriuresis and diuresis and lowering blood pressure

Both medications affect appetite and metabolism through different pathways, but their combined use raises cardiovascular concerns that most evidence-based guidelines do not support