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Practical Pearls (Indian Context) High misuse risk in cosmetic weight loss clinics Counsel patients: This is not a lifestyle shortcut Needs diet + exercise Needs protein preservation Needs follow-up Avoid: BMI 2 kg/week) Visible muscle wasting Fatigue, falls Action: Reduce dose Increase protein Add resistance work Reassess treatment goal Semaglutide: Know before you Login 1

As you adapt, side effects will decrease, but notify your clinician if they persist or worsen