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But please dont wait three months to take action, because the straining while trying to go could cause damage to sensitive tissue in and around your anus

Eat less, move more, lose weight

This might mean having 3 smaller meals plus 2-3 small snacks, rather than three large meals

Some add lipase

You do not need to memorize a speech, but you do need to remember three things: your specific health goals (not "lose weight" but "reduce my A1c from 6.1 to below 5.7 and lose enough weight to reduce my blood pressure medication"), the treatments you have already tried, and your awareness of GLP-1 side effects and commitment to managing them