Focus on non-scale victories such as energy, confidence, sleep, and ability to complete workouts
Exclusion Criteria Inability to give informed consent or comprehend study information
One of our patients used to joke and complaint that she cannot have a choice in the matter (which addiction to target)

References PMC Once-Weekly Semaglutide for Weight Management: A Clinical Review Comprehensive review of Semaglutides mechanism, efficacy, and safety in weight management (clinical data, half-life, GLP-1 receptor activation, weekly dosing) NCBI Bookshelf Semaglutide (StatPearls) Comprehensive pharmacology, clinical uses, dosing strategies, adverse effects, and contraindications for Semaglutide Mayo Clinic Semaglutide (Subcutaneous Route) Clinical guidance on Semaglutide administration, side effects, dosing, and patient information including weekly protocol PMC Semaglutide 2.4 mg for Weight Loss: Clinical Evidence Evidence-based review of Semaglutide 2.4 mg weekly maintenance dosing and clinical outcomes in obesity treatment PubMed Cardiovascular Outcomes with Semaglutide Long-term cardiovascular safety and benefits observed in Semaglutide clinical trials Journal of the Royal Society Interface (2017) Peer-reviewed review of formulation, temperature, agitation, lyophilization, and other factors that affect peptide stability

Authoritative Sources The New England Journal of Medicine published the Phase 2 obesity trial that shaped current discussion
Strukturforschung, Martinsried, Germany