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"I want them to see me": Engel says he hopes his story will send a message to the drugs manufacturers

These include: Research and Nooms internal data indicate that combining GLP-1s with behavior-change support yields better, more durable outcomes than medication alone

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[5] While these medications offer significant therapeutic advantages, they can influence blood pressure through multiple mechanisms, including weight loss and potentially natriuresis (increased sodium excretion), typically producing modest reductions of 2-6 mmHg in systolic blood pressure

Curr Med Res Opin (2007) 23(4):91931.10.1185/030079906X162746 118 StonehouseAHDarsowTMaggsDG

Many insurers require documentation of previous weight loss attempts, BMI verification, and presence of comorbidities