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Someone with a slower GLP1R pathway may tolerate more volume earlier in treatment, while others need stricter portion control

Fasting insulin and HOMA-IR (a measure of insulin resistance) decreased substantially at all active doses, with the greatest reductions at 8mg and 12mg

however, indirect factors such as rapid weight loss, postural changes, gastrointestinal side effects, and rare complications like gallbladder disease or pancreatitis may contribute to back discomfort

However, the profound novelty and instructional value of this case lie in the extreme delay in diagnosis and the insurmountable socioeconomic barriers that followed