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The cardiometabolic patient who is not enormously overweight but whose family history is studded with early heart attacks does not need maximum weight loss either

The results indicated that liraglutide (Saxenda) slightly increases the risk of thyroid-related disorders compared to a placebo

Alternative pharmacological options include phentermine-topiramate (Qsymia) and naltrexone-bupropion (Contrave), though these also carry cardiac considerations

Even well-intentioned responses can inadvertently admit liability or waive important defenses

If glucose readings are elevated, checking for ketones may be warranted, particularly if accompanied by symptoms such as nausea, vomiting, abdominal pain, rapid breathing, or confusion, which could indicate diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS) requiring urgent medical attention