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For obesity alone, insurance authorization remains inconsistent and frequently denied, pushing some patients toward self-pay options or abandonment of treatment altogether

Understanding how GLP-1 works helps explain why the timing of injections matters

LACTIC ACIDOSIS A very rare complication of metformin therapy is lactic acidosis (53)

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If side effects do occur, they are generally mild and may include: Pain, discomfort, swelling, or redness at the injection site Diarrhea Headache Bloating Nausea Numbness or tingling Serious side effects are rare and may include: Confusion Dizziness or fainting Muscle pain, cramps, or weakness Extreme thirst Facial flushing Frequent urination Palpitations Fatigue Difficulty breathing Coughing or noisy breathing (wheezing) Extreme pain, swelling, warmth or tenderness in one leg Difficulty swallowing Rash Itching over the body If you experience serious side effects, contact your doctor right away