The Realities of Using GLP-1 Medications When You’re Not Overweight: What Happens and Why Informed Choices Matter

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47 min
Published on
September 21, 2025
Updated on
September 21, 2025
The Realities of Using GLP-1 Medications When You’re Not Overweight: What Happens and Why Informed Choices Matter

Introduction

The conversation around weight loss has dramatically shifted, fueled by breakthrough medications and amplified by social media. It seems we’re constantly hearing about GLP-1 receptor agonists – drugs like Ozempic, Wegovy, Mounjaro, and Zepbound – and their remarkable impact on weight. Yet, with widespread discussion often comes misunderstanding, especially concerning who these medications are truly for. The allure of a seemingly swift solution to aesthetic concerns or minor weight fluctuations can be powerful, leading many to wonder: what happens if you take Ozempic or similar GLP-1 medications when you’re not clinically overweight?

This question, far from simple, delves into the intersection of medical science, societal pressures, and personal health. The landscape of weight management has become increasingly complex, with terms like “off-label use” gaining prominence and raising important questions about safety, efficacy, and ethical considerations. While these medications offer life-changing potential for those who meet specific medical criteria, their use outside of these guidelines warrants careful examination.

At TrimRx, our journey began with a shared vision to help individuals embrace healthier lifestyles by merging cutting-edge telehealth innovations with effective weight loss solutions. We understand the profound impact that weight can have on overall well-being, and our dedication is to safe, effective weight loss through individualized care. This post aims to cut through the noise, providing a comprehensive, evidence-based understanding of GLP-1 medications, their intended use, and the potential implications for individuals who do not fall into the clinically overweight or obese categories. We will explore the science behind these drugs, highlight the risks associated with their misuse, and champion a balanced, medically supervised approach to health and weight management. Our goal is to empower you with the knowledge to make informed decisions for your unique health journey, emphasizing that sustainable weight loss should be achieved through science, empathy, and a transparent approach.

Understanding GLP-1 Receptor Agonists: How They Work and Their Approved Uses

GLP-1 receptor agonists represent a significant advancement in the medical management of type 2 diabetes and, more recently, chronic weight management. To truly understand why their use is carefully regulated, it’s essential to grasp what these medications are and how they interact with the body.

The Science Behind GLP-1s

GLP-1 stands for Glucagon-Like Peptide-1, a naturally occurring hormone in our bodies. When we eat, our intestines release GLP-1, which plays several crucial roles in regulating blood sugar and appetite. GLP-1 receptor agonists mimic this natural hormone, leading to a cascade of beneficial effects:

  • Insulin Secretion: They stimulate the pancreas to release more insulin when blood sugar levels are high, helping to lower glucose.
  • Glucagon Suppression: They decrease the secretion of glucagon, another hormone that raises blood sugar, further contributing to glucose control.
  • Delayed Gastric Emptying: These medications slow down how quickly food leaves the stomach. This not only helps manage post-meal blood sugar spikes but also contributes to a prolonged feeling of fullness.
  • Appetite Regulation: By acting on receptors in the brain, GLP-1s can reduce appetite and food cravings, leading to decreased caloric intake.

These combined mechanisms are what make GLP-1 medications so effective for both blood sugar control in type 2 diabetes and significant weight loss in individuals who are clinically overweight or obese.

Approved Medications and Their Specific Indications

It’s crucial to differentiate between various GLP-1 medications and their specific FDA-approved indications:

  • Ozempic® (semaglutide): This brand-name medication is FDA-approved exclusively for the treatment of type 2 diabetes. While weight loss is a common side effect, it is not approved for weight management alone.
  • Wegovy® (semaglutide): Containing the same active ingredient as Ozempic but in higher doses, Wegovy® is FDA-approved for chronic weight management in adults with a Body Mass Index (BMI) of 30 or greater (obesity), or a BMI of 27 or greater (overweight) with at least one weight-related comorbidity (such as high blood pressure, type 2 diabetes, or high cholesterol).
  • Mounjaro® (tirzepatide): This medication is FDA-approved for the treatment of type 2 diabetes. Tirzepatide is unique as it acts on two receptors: GLP-1 and GIP (glucose-dependent insulinotropic polypeptide), offering potentially greater effects on blood sugar control and weight loss.
  • Zepbound® (tirzepatide): Similar to the relationship between Ozempic and Wegovy, Zepbound® is the brand-name tirzepatide specifically FDA-approved for chronic weight management in adults meeting the same BMI criteria as Wegovy®.

It’s vital to recognize that medications like Ozempic and Mounjaro, while often leading to weight loss, are primarily approved for diabetes. Using them for weight loss outside of these approved indications is considered “off-label” and comes with specific considerations.

TrimRx’s Personalized Approach to Prescribed GLP-1s

We at TrimRx believe in providing access to clinically proven solutions under strict medical supervision. Our personalized weight loss program offers a range of prescription GLP-1 medications for eligible individuals, always sourced from FDA-registered and inspected pharmacies to ensure the highest standards of safety and quality. Our offerings include:

  • Compounded Semaglutide: A personalized formulation for those seeking semaglutide.
  • Oral Semaglutide: An alternative administration method for semaglutide.
  • Ozempic®: For individuals meeting the criteria for type 2 diabetes.
  • Compounded Tirzepatide: A personalized formulation for those seeking tirzepatide.
  • Oral Tirzepatide: An alternative administration method for tirzepatide.
  • Mounjaro®: For individuals meeting the criteria for type 2 diabetes.
  • Zepbound®: For chronic weight management in eligible individuals.
  • Wegovy®: For chronic weight management in eligible individuals.

To ensure responsible and medically appropriate care, access to these prescription medications requires a thorough evaluation. We encourage you to take our free assessment quiz to determine your eligibility and receive a personalized treatment plan from one of our affiliated medical professionals. This quiz is the first step in understanding if these powerful tools are the right fit for your health goals, always under the guidance of expert care.

The Allure and Dangers of Off-Label Use for Individuals Not Clinically Overweight

The buzz around GLP-1 medications has created an undeniable pull for many, extending far beyond their intended patient populations. Social media, celebrity endorsements, and a pervasive “diet culture” have normalized the idea of seeking these drugs for aesthetic enhancements or minor weight loss, even for individuals who are not clinically overweight or obese. This widespread off-label use, however, is fraught with potential risks and ethical dilemmas.

The Influence of Societal Pressures

In a world that often equates thinness with health and beauty, the desire for a “quick fix” to body image concerns is understandable. We are constantly bombarded with images and narratives that promote unrealistic body ideals. When public figures share their dramatic weight loss, often without disclosing the full story of how it was achieved, it fuels a powerful narrative that GLP-1s are a “wonder drug” for anyone seeking to shed pounds. This environment can make it incredibly tempting for individuals who are not clinically overweight to consider these medications, even for just a few pounds.

However, the medical community, including our team at TrimRx, strongly advises against using these powerful medications without a clear medical indication. We believe in compassionate care that respects every individual’s unique journey, which means advocating for safe and medically appropriate pathways to health.

Why Off-Label Use is Risky for Individuals Not Clinically Overweight

While GLP-1s are generally well-tolerated in appropriate populations, their safety and efficacy for individuals who are not clinically overweight or obese have not been extensively studied. This lack of research translates into significant, often unknown, risks:

Physiological Risks

  1. Loss of Lean Muscle Mass Over Fat: One of the most critical concerns for individuals with a healthy BMI using GLP-1s is the disproportionate loss of lean muscle mass. While weight loss from these medications typically includes both fat and muscle, a significant reduction in muscle can have long-term negative consequences, particularly if there isn’t excessive fat to begin with. Muscle is vital for metabolism, strength, bone density, and overall functional health. Studies, such as one cited in the New England Journal of Medicine, have shown participants losing a substantial amount of lean muscle during GLP-1 trials. For someone with minimal excess fat, this could lead to an unhealthy body composition.
  2. Nutritional Deficiencies and Malnourishment: The profound appetite suppression caused by GLP-1s can lead to significantly reduced food intake. For individuals who don’t have substantial fat reserves, this can quickly result in inadequate calorie and nutrient consumption, leading to nutritional deficiencies, fatigue, and weakness. In severe cases, it can mimic symptoms of malnourishment.
  3. Hypoglycemia Risk: GLP-1s are designed to lower blood sugar. In non-diabetic individuals who already have normal blood sugar levels, taking these medications can increase the risk of hypoglycemia ( dangerously low blood sugar). Symptoms can include dizziness, headaches, shaking, heart palpitations, and even severe confusion or seizures, posing serious health risks.
  4. Exacerbated Gastrointestinal Issues: While nausea, vomiting, diarrhea, and constipation are common side effects even in approved populations, they can be particularly distressing and impactful for individuals who may not medically need the medication. Delayed gastric emptying, while beneficial for satiety, can also lead to severe discomfort or even serious conditions like gastroparesis (stomach paralysis) in rare instances.
  5. Gallbladder and Pancreatic Risks: There’s an increased risk of gallbladder issues (like gallstones) and pancreatitis (inflammation of the pancreas) associated with GLP-1 use. These are serious medical conditions requiring urgent attention.
  6. Potential for Thyroid Tumors: Studies have suggested a potential risk of thyroid C-cell tumors, including medullary thyroid carcinoma, with GLP-1 receptor agonists. While this risk is still being researched, it’s a serious consideration, especially for individuals with a personal or family history of such conditions.
  7. Metabolic Disruption: Long-term use without clinical need could disrupt the body’s natural hunger signals and metabolic processes, potentially making it harder to maintain a healthy weight naturally after stopping the medication.
  8. Unknown Long-Term Effects: The long-term impact of GLP-1 medications on individuals with a healthy BMI remains largely unknown. Introducing a powerful medication into a system that may not need it could have unforeseen consequences on various bodily functions and overall health.

Psychological and Behavioral Risks

  1. Connection to Eating Disorders and Body Dysmorphia: Perhaps one of the most insidious dangers of off-label use is its potential to fuel or trigger eating disorders. For individuals already susceptible to disordered eating patterns or body image issues, GLP-1s can provide a means to exert extreme control over food intake, leading to conditions like anorexia nervosa, bulimia nervosa, or exacerbating existing binge eating behaviors. The pursuit of an “impossible body ideal” can lead to a dangerous relationship with food and body image.
  2. Weight Cycling: A significant concern is that stopping GLP-1 medications often leads to regaining the lost weight. For someone who took the medication for aesthetic reasons, this can lead to a cycle of weight loss and regain, creating frustration and potentially worsening body image issues.
  3. Mental Health Impacts: Reports have included potential mental health side effects, including suicidal ideation. While rare, these serious risks underscore the importance of strict medical supervision.

Public Health Concerns

The surge in off-label prescriptions for individuals not clinically overweight has also led to supply shortages. This severely impacts patients with type 2 diabetes or those with obesity and comorbidities who genuinely need these medications for their health, disrupting their treatment and posing significant health risks.

At TrimRx, our commitment to transparent service means we highlight that our approach remains consistent regardless of dosage changes and our focus on safety by working exclusively with FDA-registered and inspected pharmacies. We emphasize the importance of medical evaluation to determine the most appropriate and safest path to wellness.

The Critical Role of Medical Supervision and Eligibility for GLP-1s

Considering the complexities and potential risks associated with GLP-1 medications, the importance of professional medical supervision and adherence to established eligibility criteria cannot be overstated. These are powerful prescription drugs, not cosmetic tools or quick fixes for minor weight concerns.

FDA Guidelines: A Foundation for Safe Use

The Food and Drug Administration (FDA) provides clear guidelines for the approved use of GLP-1 medications for weight management. For branded medications like Wegovy® and Zepbound®, approval is specifically for adults with:

  • A Body Mass Index (BMI) of 30 kg/m² or greater (considered obese).
  • Or, a BMI of 27 kg/m² or greater (considered overweight) in the presence of at least one weight-related comorbidity, such as high blood pressure, type 2 diabetes, or high cholesterol.

These criteria are not arbitrary; they are based on extensive clinical trials demonstrating the medications’ safety and efficacy in these specific populations, where the health benefits of weight loss outweigh the potential risks. For individuals outside these parameters, the risk-benefit profile shifts considerably, often making the use of these medications medically inappropriate.

Why a “Healthy BMI” Doesn’t Qualify for GLP-1 Weight Loss

For individuals who maintain a healthy BMI through diet and exercise, or who seek to lose only a small, medically insignificant amount of weight, GLP-1 medications are generally not recommended. Here’s why:

  • Necessity vs. Benefit: The health benefits of modest weight loss in a person with a healthy BMI are typically minimal compared to the potential risks and side effects of the medication.
  • Lifestyle Interventions: For minor weight management goals, a balanced diet, regular exercise, and healthy lifestyle modifications are almost always the preferred, safest, and most sustainable methods.
  • Medical Complexity: Prescribing and monitoring GLP-1 medications is a complex process that involves careful assessment of an individual’s medical history, current health status, and potential contraindications. It’s a journey that requires ongoing medical oversight, not a casual decision.

The TrimRx Difference: Our Commitment to Safety and Personalized Care

At TrimRx, we are unwavering in our dedication to safe and effective weight loss. Our brand is empathetic, innovative, trustworthy, supportive, results-oriented, and personalized. We combine advanced medical science with modern technology to offer compassionate care that respects every individual’s unique journey. We understand that sustainable weight loss is a multifaceted process that requires a personalized approach.

When you engage with TrimRx, you are not just getting a prescription; you are entering into a comprehensive service designed for your success and safety:

  1. Doctor Consultations: Every individual undergoes a thorough consultation with a qualified medical professional to assess their health, medical history, and weight loss goals. This is where eligibility for prescription medications is carefully determined based on medical criteria.
  2. Lab Work: We often require lab work to get a complete picture of your health, monitor your progress, and ensure the chosen treatment plan is appropriate and safe for your body.
  3. Medication Sourcing: Our weight loss medications are provided through FDA-registered, inspected, and approved pharmacies. For compounded medications, we clearly state they are not FDA approved, while branded medications like Ozempic®, Wegovy®, Mounjaro®, and Zepbound® are FDA-approved for their specific indications. We partner with these pharmacies for the shipping of weight loss medications and do not provide actual medical supervision ourselves, but ensure that the initial consultation and ongoing support are provided by licensed medical professionals within our network.
  4. Unlimited Support: Our program includes continuous support, ensuring you have the guidance you need throughout your journey. This comprehensive service covers doctor consultations, medication, lab work, and shipping, all with no hidden fees.
  5. Personalized Treatment Plans: Based on your assessment, a customized treatment plan is developed, which may include prescription GLP-1 medications for those who qualify.

We believe that this medically supervised, transparent approach is essential. Our platform is a user-friendly and supportive space where individuals receive personalized, medically supervised care—all designed to make sustainable weight loss attainable and tailored to the individual.

To see if you qualify for our prescription weight loss medications and to begin your journey with a truly personalized and safe plan, we strongly encourage you to take our free assessment quiz today.

Beyond Medication: Embracing a Holistic and Sustainable Approach to Wellness

While GLP-1 medications offer significant breakthroughs for specific patient populations, we at TrimRx firmly believe that true, sustainable wellness extends far beyond pharmacological interventions alone. For individuals not clinically overweight, and indeed for anyone on a health journey, a holistic approach focusing on fundamental lifestyle pillars is paramount.

The Power of Foundational Habits

Before considering any medication, especially if you’re not clinically overweight, it’s crucial to optimize foundational health habits. These are the cornerstones of long-term well-being and effective weight management:

  1. Balanced Nutrition: Fueling your body with a nutrient-dense, balanced diet is fundamental. This means prioritizing whole foods, lean proteins, healthy fats, and complex carbohydrates. Adequate protein intake is especially vital for maintaining lean muscle mass, which is critical for a healthy metabolism and overall strength. Focusing on mindful eating and listening to your body’s hunger and fullness cues can foster a healthier relationship with food.
  2. Regular Physical Activity: Incorporating both strength training and cardiovascular exercise is key. Strength training helps preserve and build muscle, which is often inadvertently lost during weight reduction. Cardio supports heart health and calorie expenditure. Regular movement not only aids in weight management but also boosts mood, energy levels, and metabolic health.
  3. Sufficient Sleep: Quality sleep is a non-negotiable component of overall health. Poor sleep can disrupt hormones that regulate appetite (ghrelin and leptin), leading to increased cravings and reduced satiety. Aim for 7-9 hours of restful sleep per night.
  4. Stress Management: Chronic stress can lead to hormonal imbalances that promote weight gain, particularly around the midsection. Developing effective stress-reduction techniques, such as meditation, yoga, spending time in nature, or engaging in hobbies, is crucial for both mental and physical health.

These lifestyle interventions should always be the foundation of any weight management plan, providing benefits that medications alone cannot replicate.

Exploring Supportive Avenues

For those seeking to optimize their health and support their wellness journey, several non-pharmacological avenues can be incredibly beneficial:

  • Nutritional Counseling: Working with a registered dietitian or nutritionist can provide personalized guidance on healthy eating patterns tailored to your specific needs, preferences, and goals. They can help identify nutritional gaps and create sustainable meal plans.
  • Hormone Optimization (General Wellness): Understanding how hormones influence weight, energy, and mood can be enlightening. General wellness strategies that support hormonal balance (e.g., adequate sleep, stress reduction, specific nutrients) can play a significant role.
  • Body Sculpting Treatments: For aesthetic concerns involving small, localized areas of fat, non-invasive body sculpting treatments might be considered as an alternative. These are not weight loss solutions but can target specific areas.
  • Mental Health Support: Addressing underlying emotional, psychological, or environmental factors that contribute to eating behaviors or body image issues is vital. Therapy, particularly for those struggling with disordered eating, can provide invaluable tools and support. We recognize that diet culture and societal pressures can profoundly impact mental well-being, and seeking professional help is a sign of strength.

TrimRx’s Quick-Access Supplements: Complementing Your Wellness Journey

At TrimRx, we understand that supporting overall wellness is a continuous journey. In addition to our personalized prescription programs for eligible individuals, we offer quick-access supplements designed to provide immediate support for your health goals. These do not require a quiz and are available for immediate purchase:

  • GLP-1 Daily Support: This supplement is formulated to complement your body’s natural processes, offering general support for metabolic health and well-being. It can be a valuable addition for individuals looking to enhance their daily routine.
  • Weight Loss Boost: Designed to support your weight management efforts, this supplement offers an additional boost to help you reach your goals when combined with a healthy diet and active lifestyle.

These quick-access supplements are crafted with our commitment to quality and effectiveness, providing avenues for individuals to proactively support their health. Whether you are exploring our comprehensive, medically supervised programs or seeking immediate support for your daily wellness, we offer solutions designed to fit various needs and stages of your health journey.

TrimRx’s Vision: A Personalized Path to Health and Sustainable Weight Management

At TrimRx, our core philosophy is rooted in the belief that sustainable weight loss should be achieved through science, empathy, and a transparent approach. Our journey began with a shared vision: to empower individuals to embrace healthier lifestyles by merging cutting-edge telehealth innovations with effective, personalized weight loss solutions. We have meticulously built our platform to be a user-friendly and supportive space where individuals receive personalized, medically supervised care—all designed to make sustainable weight loss attainable and tailored to the individual.

We understand that every individual’s body, health history, and weight loss journey are unique. There is no one-size-fits-all solution, and what works for one person might not be suitable for another. This is particularly true when considering powerful medications like GLP-1 receptor agonists. Our brand personality – empathetic, innovative, trustworthy, supportive, results-oriented, and personalized – guides every aspect of our service. We offer compassionate care that respects your unique journey, combining advanced medical science with modern technology to deliver effective, individualized plans.

Our commitment extends to absolute transparency and safety. We work exclusively with FDA-registered and inspected pharmacies for the shipping of weight loss medications, ensuring that the products you receive meet rigorous quality and safety standards. When discussing our prescription offerings, we clearly delineate between FDA-approved branded medications and compounded formulations, making sure you have all the necessary information. Our approach remains consistent regardless of dosage changes, emphasizing continuity of care and clear communication.

We envision a world where individuals can access safe, effective, and personalized weight loss solutions without navigating a maze of misinformation or facing judgment. Our comprehensive service is designed to remove barriers to care, providing:

  • Expert Medical Consultations: To ensure that any treatment plan is medically appropriate and safe for you.
  • Necessary Lab Work: For a complete health assessment and ongoing monitoring.
  • Access to Clinically Proven Medications: Sourced responsibly and delivered conveniently.
  • Unlimited Support: Because we know that sustained success requires ongoing guidance and encouragement.
  • Transparent Service: With no hidden fees, so you can focus on your health without financial surprises.

This integrated approach allows us to provide a truly supportive environment, guiding you toward lasting health improvements. For those contemplating their weight loss journey, whether you’re exploring the potential benefits of prescription medications or seeking supportive supplements, we offer a path grounded in medical expertise and genuine care.

We invite you to take the first step towards a healthier you. To explore if our personalized prescription weight loss medications are right for you, take our free assessment quiz. If you’re looking for immediate support to complement your wellness efforts, explore our GLP-1 Daily Support or Weight Loss Boost supplements. Together, we can build a personalized plan for your sustainable success, empowering you to embrace a healthier and more fulfilling lifestyle.

Conclusion

Navigating the landscape of modern weight management can be challenging, especially with the pervasive influence of social media and the allure of new medical advancements. Our exploration into what happens if you take Ozempic or similar GLP-1 medications when you’re not clinically overweight underscores a vital message: these are powerful tools with specific medical indications. Their off-label use by individuals with a healthy BMI comes with significant, often unstudied, risks—ranging from muscle loss and nutritional deficiencies to serious gastrointestinal issues and the potential exacerbation of disordered eating patterns.

Ultimately, making informed decisions about your health means understanding the science, respecting medical guidelines, and prioritizing your overall well-being over fleeting aesthetic trends. While GLP-1 medications offer profound benefits for those who meet specific criteria for type 2 diabetes or chronic weight management, they are not a substitute for fundamental healthy lifestyle habits for others.

At TrimRx, we are committed to guiding you through this journey with empathy, expertise, and transparency. We advocate for a comprehensive, medically supervised approach to weight loss that is personalized to your unique needs. Whether through our rigorously assessed prescription programs, or our supportive quick-access supplements, our goal is to provide safe, effective, and sustainable pathways to a healthier life. We believe in empowering you with the knowledge and tools to make choices that truly serve your long-term health.

Remember, your health journey is yours alone, and it deserves a thoughtful, evidence-based approach. We encourage you to seek professional medical advice and explore options that align with your individual health profile and goals. Together, we can build a foundation for lasting wellness.

FAQ

Q1: Is Ozempic approved for weight loss if I’m not overweight or diabetic?

No, Ozempic® is FDA-approved exclusively for the treatment of type 2 diabetes. While its active ingredient, semaglutide, is approved for weight management under the brand name Wegovy®, this approval is for adults with a BMI of 30 or greater (obesity), or a BMI of 27 or greater (overweight) with at least one weight-related comorbidity. Using Ozempic for weight loss when you do not meet these criteria is considered off-label and is not recommended due to potential risks and lack of extensive research in non-overweight individuals. At TrimRx, we ensure all prescription medications are medically appropriate through a personalized assessment.

Q2: What are the main risks if someone not clinically overweight takes GLP-1 medications like Ozempic?

For individuals not clinically overweight, taking GLP-1 medications can pose several risks. These include the potential for significant loss of lean muscle mass over fat, increasing the likelihood of nutritional deficiencies due to severe appetite suppression, and an elevated risk of hypoglycemia (low blood sugar). Gastrointestinal side effects like nausea, vomiting, and delayed gastric emptying can also be more pronounced and impactful. Furthermore, there are psychological risks such as fostering disordered eating patterns and the development of body dysmorphia. The long-term effects of GLP-1 use in non-overweight individuals are not yet fully understood.

Q3: Are there alternatives to GLP-1 injections for minor weight loss or fitness goals?

Yes, for minor weight loss or fitness goals, a holistic approach focusing on lifestyle modifications is generally the safest and most sustainable path. This includes adopting a balanced, nutrient-rich diet, engaging in regular physical activity (including strength training to preserve muscle mass), prioritizing adequate sleep, and effective stress management techniques. Nutritional counseling can provide personalized guidance. Additionally, TrimRx offers quick-access supplements like GLP-1 Daily Support and Weight Loss Boost to complement a healthy lifestyle without requiring a prescription.

Q4: How does TrimRx ensure safe and personalized care for weight loss?

TrimRx is dedicated to providing safe, effective, and personalized weight loss solutions. Our process begins with a free assessment quiz and a thorough consultation with a qualified medical professional to determine eligibility for prescription medications. This includes a review of your medical history and, often, required lab work. Any prescription medications are sourced through FDA-registered and inspected pharmacies. We offer a comprehensive service that includes doctor consultations, medication, lab work, unlimited support, and shipping, all with transparency and no hidden fees. Our goal is to provide a user-friendly and supportive platform for individuals to achieve sustainable weight loss tailored to their unique needs and medical profile.

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