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Weight loss was truly slow, most likely due to persistent insulin resistance. A six-month course of Ozempic helped the woman lose 46 pounds (21 kg), from 235 pounds (107 kg) to 189 pounds (86 kg) [26]

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The medicines work by mimicking a hormone, GLP-1, that affects insulin secretion, feelings of fullness and appetite

Eat smaller, more frequent meals, avoid lying down for 23 hours after eating, elevate the head of your bed, identify trigger foods to avoid, and consider over-the-counter antacids or H2-blockers for mild symptoms

East Asian Arch Psychiatry