Can People With Heart Problems Take Ozempic? Exploring GLP-1 Medications and Cardiovascular Health

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49 min
Published on
September 20, 2025
Updated on
September 20, 2025
Can People With Heart Problems Take Ozempic? Exploring GLP-1 Medications and Cardiovascular Health

Introduction

Imagine navigating life with a heart condition, striving for better health, and then hearing about a new class of medications that promise significant benefits, not just for weight loss, but potentially for your heart too. This isn’t a distant dream; it’s the reality unfolding with GLP-1 receptor agonists like semaglutide and tirzepatide. For years, obesity and being overweight have been recognized as major contributors to cardiovascular disease, exacerbating conditions ranging from high blood pressure to heart failure. The convergence of these health challenges often leaves individuals searching for effective, yet safe, solutions that address both aspects comprehensively.

In this evolving landscape of health and wellness, a revolutionary class of drugs, known as GLP-1 receptor agonists, first emerged as powerful tools for managing type 2 diabetes. However, their profound impact on weight loss soon garnered widespread attention, leading to their approval for weight management. More recently, compelling scientific evidence has revealed an exciting, additional benefit: a significant reduction in major cardiovascular events for specific populations. This pivotal development has understandably sparked vital questions for many, particularly those living with existing heart problems: can people with heart problems take Ozempic or similar GLP-1 medications?

This detailed exploration aims to shed light on the nuanced relationship between GLP-1 medications and heart health. We will delve into the scientific breakthroughs, the specific FDA approvals, and the profound benefits observed in clinical trials. We will also address potential side effects and critical considerations, emphasizing the paramount importance of a personalized, medically supervised approach. By the end of this post, you will have a clearer understanding of these innovative treatments, empowering you to engage in informed discussions with your healthcare provider. We believe that sustainable weight loss and improved health should be achieved through science, empathy, and a transparent approach, principles that guide every aspect of our work at TrimRx.

The Intertwined Challenges of Obesity, Overweight, and Heart Disease

The global burden of obesity and overweight continues to escalate, presenting one of the most pressing public health crises of our time. These conditions are not merely cosmetic; they are complex chronic diseases that significantly increase the risk of numerous severe health complications, chief among them being cardiovascular disease. Understanding this intricate relationship is crucial for appreciating the potential of newer therapeutic interventions.

The Global Health Landscape

Over 70% of American adults are classified as obese or overweight, figures that reflect a widespread challenge with far-reaching consequences for individual well-being and healthcare systems alike. Excess body fat, particularly around the abdomen, is a powerful predictor of cardiovascular risk. It acts as a metabolic engine, fueling inflammation, disrupting hormone regulation, and leading to a cascade of adverse effects on the heart and blood vessels.

Conditions such as hypertension (high blood pressure), dyslipidemia (abnormal cholesterol levels), type 2 diabetes, and obstructive sleep apnea are strongly associated with obesity, and each of these independently elevates the risk of heart attack, stroke, and heart failure. The heart, under the constant strain of excess weight, works harder, leading to structural changes and functional impairments over time. For instance, the lifetime risk of cardiovascular disease in individuals with obesity but without diabetes is alarmingly high, affecting roughly one in two women and two in three men. This underscores the urgent need for effective strategies that can not only manage weight but also protect cardiovascular health.

The Rise of GLP-1 Receptor Agonists

In this context of escalating cardiovascular risk driven by obesity, the emergence of glucagon-like peptide-1 (GLP-1) receptor agonists has represented a significant leap forward in medical science. This class of medications was initially developed and approved for the management of type 2 diabetes. Their primary mechanism involves mimicking the action of a natural hormone, GLP-1, which is released after eating. This leads to increased insulin secretion, suppressed glucagon release, slowed gastric emptying, and a reduction in appetite. By effectively lowering blood sugar levels and improving glycemic control, these medications offered a powerful new avenue for diabetes management.

However, clinical observations soon revealed a remarkable “side effect”: significant and sustained weight loss. This discovery paved the way for further research and, ultimately, the approval of specific GLP-1 receptor agonists for chronic weight management. The profound impact on both blood sugar and body weight positioned these medications as potential game-changers, particularly for individuals facing the dual challenges of obesity and related metabolic complications. As we continue to advance our understanding of these powerful compounds, our focus at TrimRx remains on bringing cutting-edge innovations and effective solutions to those seeking healthier lifestyles.

Semaglutide and Heart Health: The Evidence Unfolds

The journey of GLP-1 receptor agonists, particularly semaglutide, from diabetes management to a recognized tool for cardiovascular risk reduction, is a testament to ongoing scientific discovery. It highlights the intricate connections within the human body and the unexpected benefits that can arise from targeted medical interventions.

Ozempic® for Type 2 Diabetes and Cardiovascular Risk Reduction

Ozempic® (semaglutide) first gained FDA approval in 2017 for lowering blood sugar in adults with type 2 diabetes. Its efficacy in improving glycemic control, as measured by A1C levels, quickly established it as a valuable treatment option. But the story didn’t end there. Subsequent research and clinical trials unveiled a crucial additional benefit: Ozempic® was found to lower the risk of major cardiovascular events (MACE) in adults with type 2 diabetes who also have established heart disease. MACE typically refers to a composite endpoint including non-fatal heart attack, non-fatal stroke, and cardiovascular death.

This expansion of Ozempic’s® label was a significant milestone, providing a medication that not only managed diabetes but actively protected the heart in a high-risk population. Beyond MACE reduction, Ozempic® has also been recognized for its role in lowering the risk of worsening kidney disease, kidney failure (end-stage kidney disease), and death due to cardiovascular disease in adults with type 2 diabetes and chronic kidney disease. These combined benefits have made Ozempic® a cornerstone in the comprehensive management of type 2 diabetes, especially for those with co-existing cardiovascular and kidney issues. We recognize the profound impact such medications can have on overall well-being, which is why we offer access to Ozempic® as part of our personalized weight loss programs for eligible individuals. To explore if this option might be right for you, we encourage you to take our free assessment quiz today.

Wegovy®: A Landmark for Cardiovascular Protection Beyond Diabetes

While Ozempic® addressed cardiovascular risk in people with type 2 diabetes, a new question emerged: could semaglutide offer similar cardioprotective benefits to individuals with obesity or overweight and cardiovascular disease, even if they didn’t have diabetes? The answer arrived with the groundbreaking Semaglutide Effects on Cardiovascular Outcomes in People With Overweight or Obesity (SELECT) trial.

Published in The New England Journal of Medicine, the SELECT trial tracked over 17,600 adults aged 45 and older who had overweight or obesity and a pre-existing cardiovascular condition but no history of diabetes. Participants were administered either a weekly dose of 2.4mg semaglutide (Wegovy®) or a placebo for an average of approximately three years. The results were truly profound.

The trial demonstrated a significant 20% lower risk overall of major cardiac events, including heart attack, stroke, or cardiovascular death, for those taking Wegovy®. Specific reductions included a 28% decrease in heart attacks, a 7% reduction in non-fatal strokes, and a 15% drop in cardiovascular-related deaths. Furthermore, an encouraging non-cardiac finding showed a 19% lower death rate from any cause among the Wegovy® group.

This robust evidence led to the FDA’s approval of Wegovy® in March 2024 to reduce the risk of cardiovascular death, heart attack, and stroke in adults who are obese or overweight and have established cardiovascular disease, regardless of their diabetes status. This represents a major breakthrough, expanding the use of semaglutide to a much larger population and offering a direct way to combat the cardiovascular consequences of obesity. For those individuals managing their weight and seeking to reduce cardiovascular risks, we offer Wegovy® as part of our medically supervised programs, sourced from FDA-approved pharmacies.

The Mechanism Behind the Benefit

While the weight loss induced by semaglutide undoubtedly contributes to its cardiovascular benefits—as losing excess weight significantly alleviates strain on the heart and improves metabolic parameters—scientists are actively researching other potential mechanisms. It is believed that GLP-1 receptor agonists may have direct effects on the cardiovascular system that go beyond just weight reduction.

These could include anti-inflammatory properties, improved endothelial function (the lining of blood vessels), and potentially even direct impacts on heart muscle function and blood vessel health. The reduction in inflammation, a known driver of heart failure and atherosclerosis, is a particularly compelling area of study. Understanding these multi-faceted mechanisms provides a more complete picture of why semaglutide is such a powerful tool in cardiovascular protection. Our commitment at TrimRx is to stay at the forefront of such scientific advancements, ensuring that our personalized programs integrate the most effective and clinically proven strategies.

Navigating the Considerations: Benefits and Potential Side Effects

The excitement surrounding GLP-1 medications for heart health is palpable, but a balanced perspective requires a thorough understanding of both their profound benefits and potential side effects. Engaging with your healthcare journey means weighing these factors carefully, always in consultation with medical professionals.

Weighing the Cardiovascular Benefits

The findings from trials like SELECT represent a significant turning point in cardiovascular medicine. Experts are hailing this as a “major breakthrough” because it offers a direct and effective intervention for a population that previously had limited options to directly target obesity’s impact on heart disease. A follow-up study by Yale researchers estimated that as many as 6.6 million Americans with obesity and cardiovascular conditions, but not diabetes, could potentially benefit from Wegovy®. This highlights the immense public health potential of these medications.

For decades, cardiologists have focused on managing individual risk factors like high blood pressure and cholesterol. Now, with GLP-1 receptor agonists, we have a way to directly address obesity, which has been a primary contributor to the slowed progress against heart disease. This ability to treat obesity itself could fundamentally shift the tide in current trends of heart disease.

Moreover, the beneficial effects of other GLP-1 receptor agonists, such as tirzepatide (found in Mounjaro® and Zepbound®), are also coming into focus. Studies have shown tirzepatide’s association with reduced left ventricular mass and less fat surrounding the heart in patients with obesity-related heart failure. This suggests that these medications can have direct, positive structural impacts on the heart, further reinforcing their potential in comprehensive cardiovascular care. These branded medications are FDA-approved, and we ensure access to them through our personalized programs.

Understanding Potential Side Effects

While the benefits are significant, it’s essential to be aware of the potential side effects associated with GLP-1 receptor agonists. Most commonly, individuals may experience gastrointestinal issues such as nausea, vomiting, diarrhea, or constipation. These effects are often most pronounced when starting the medication or increasing the dose and tend to improve over time, especially when the dose is escalated gradually under medical supervision. At TrimRx, our comprehensive service includes doctor consultations and unlimited support, ensuring that you have guidance in managing any side effects throughout your journey.

Rarer, but more serious, side effects include pancreatitis (inflammation of the pancreas), gallbladder problems, and in individuals with diabetes, eye problems (diabetic retinopathy). There is also a warning regarding the risk of thyroid C-cell tumors based on rodent studies; it is not known if semaglutide causes these tumors, including medullary thyroid carcinoma (MTC), in humans. Therefore, individuals with a personal or family history of MTC or with Multiple Endocrine Neoplasia syndrome type 2 (MEN 2) should not use these medications.

A specific concern sometimes raised regarding heart health is an increased heart rate and palpitations. While some patients report experiencing these, they can often be linked to factors like dehydration or low blood sugar levels (hypoglycemia), which can occur with GLP-1 use. It is crucial for anyone taking these medications to stay well-hydrated and, if diabetic, to diligently monitor blood sugar levels. Any persistent or concerning changes in heart rate or rhythm should always be discussed immediately with a healthcare provider.

Another area that has seen some discussion is the concept of “shrinking heart muscles.” A study in mice suggested that Ozempic could lead to a reduction in heart muscle size. However, it’s vital to note that this research is ongoing, and the long-term effects in humans are currently unknown. Importantly, the overall clinical trial data, particularly the SELECT trial, demonstrated significant cardiovascular benefits in humans, including reduced MACE. Furthermore, studies on tirzepatide have shown beneficial reductions in left ventricular mass—a positive indicator for heart health. The current body of evidence does not conclusively support the hypothesis that any heart muscle changes in humans due to GLP-1 medications are a negative outcome; rather, the overwhelming data points towards overall cardiovascular protection in eligible patients. We believe in providing transparent information and emphasizing that the decision to use these medications should always be based on a thorough assessment of individual health and potential benefits against risks.

The Importance of Individualized Assessment

These considerations underscore a fundamental truth in healthcare: there is no one-size-fits-all approach to weight loss and chronic disease management. For individuals with existing heart problems, the decision to use GLP-1 receptor agonists requires a careful, individualized assessment by a qualified medical professional. Factors such as the specific heart condition, other co-existing health issues, current medications, and individual response to treatment must all be taken into account.

At TrimRx, our brand is built on empathy, innovation, and trustworthiness. We understand the unique complexities of each individual’s health journey. Our platform offers a user-friendly and supportive space where individuals receive personalized, medically supervised care. We combine advanced medical science with modern technology to deliver compassionate care that respects every individual’s unique journey. This includes thorough doctor consultations, lab work, and continuous support to ensure that treatment plans are not only effective but also safe and tailored to your specific needs, especially when managing conditions like heart disease. To begin your personalized journey, we invite you to take our free assessment quiz to determine your eligibility for our prescription weight loss medications.

Embracing a Personalized Approach to Weight Loss and Heart Health with TrimRx

Navigating the complexities of weight loss, especially when managing underlying health conditions like heart disease, requires more than just a medication; it demands a comprehensive, empathetic, and personalized system of care. This is precisely where TrimRx distinguishes itself. Our mission is rooted in a shared vision to empower individuals to embrace healthier lifestyles through the fusion of cutting-edge telehealth innovations and clinically proven weight loss solutions.

Our Commitment to Your Health Journey

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 that sustainable weight loss is not just about shedding pounds; it’s about fostering lasting health and well-being. Our platform is meticulously designed to be a user-friendly and supportive space where individuals receive personalized, medically supervised care—all crafted to make sustainable weight loss attainable and genuinely tailored to the individual. We firmly believe that sustainable weight loss should be achieved through science, empathy, and a transparent approach, forming the bedrock of every interaction and treatment plan we offer.

Our brand personality—empathetic, innovative, trustworthy, supportive, results-oriented, and personalized—is woven into every aspect of our service. We are committed to providing compassionate care that profoundly respects every individual’s unique journey, seamlessly combining advanced medical science with modern technology to deliver exceptional results. We are also dedicated to transparent service, ensuring that our approach remains consistent, regardless of dosage changes. Furthermore, safety is paramount; we work exclusively with FDA-registered and inspected pharmacies for the shipping of all weight loss medications, ensuring that you receive high-quality, authentic products.

Comprehensive Care: More Than Just Medication

We understand that true support extends far beyond simply providing medication. Our comprehensive service is designed to offer a holistic and seamless experience. When you choose TrimRx, you gain access to:

  • Doctor Consultations: Qualified medical professionals assess your health history, discuss your goals, and determine your eligibility for prescription medications.
  • Lab Work: Essential lab tests are included to ensure a safe and effective treatment plan tailored to your specific physiological needs.
  • Medication: Access to clinically proven prescription weight loss medications, delivered directly to your door.
  • Unlimited Support: Our dedicated team is here to provide ongoing guidance, answer your questions, and offer encouragement every step of the way, fostering a supportive environment for your success.
  • Shipping: Convenient and discreet shipping of your medication is included.
  • No Hidden Fees: We believe in complete transparency, so you can trust that the cost we discuss covers all aspects of your personalized program.

We pride ourselves on partnering exclusively with FDA-registered and inspected pharmacies. It is important to clarify that TrimRx partners with these pharmacies for the shipping of weight loss medications and does not provide actual medical supervision ourselves. Your personalized care plan is developed through consultation with a qualified medical professional, who then guides you through your treatment.

Personalized Treatment Pathways

Recognizing that every individual’s journey is unique, we offer a diverse range of solutions to support your weight loss and health goals.

Prescription Medications Requiring Personalized Assessment

For those seeking powerful, medically supervised weight loss solutions, we offer a selection of prescription medications known for their efficacy. These include Compounded Semaglutide, Oral Semaglutide, Ozempic®, Compounded Tirzepatide, Oral Tirzepatide, Mounjaro®, Zepbound®, and Wegovy®. It is important to note that branded medications like Ozempic®, Zepbound®, and Wegovy® are FDA-approved. When offering compounded medications, we ensure they are sourced from FDA-registered and inspected pharmacies, maintaining the highest standards of safety and quality.

To ensure these powerful treatments are suitable and safe for you, especially if you have underlying health conditions like heart problems, completing our free, confidential assessment is the crucial first step. This personalized quiz helps our medical team understand your unique health profile and determine your eligibility for a customized treatment plan. To explore if these options are suitable for you and receive a truly personalized plan, we invite you to take our free assessment quiz today.

Quick-Access Supplements for Holistic Support

Beyond prescription medications, we understand that a holistic approach to wellness can significantly enhance your weight loss journey. Our quick-access supplements are designed to provide immediate support for overall well-being. These include GLP-1 Daily Support and Weight Loss Boost. These supplements are available for immediate purchase, offering complementary benefits whether you are on a prescription plan or simply looking for additional support in your health endeavors. They are crafted to support your body’s natural processes and enhance your overall wellness as you work towards your goals.

Our Role in Your Care

It is important to clearly articulate our role: TrimRx partners with FDA-registered and inspected pharmacies for the shipping of weight loss medications, and we facilitate your access to a network of qualified medical professionals for consultations and personalized care plan development. We do not provide actual medical supervision ourselves. Your medical care, including diagnosis, treatment decisions, and ongoing monitoring, is provided by licensed healthcare professionals within our network, ensuring that your journey is medically guided and safe. Our platform serves as a vital bridge, connecting you to the resources and support you need for effective and sustainable weight loss.

Beyond Medication: Lifestyle and Continuous Support

While GLP-1 receptor agonists offer groundbreaking medical advancements, they are most effective when integrated into a broader strategy that emphasizes sustainable lifestyle changes and continuous support. True, lasting health transformation is a collaborative effort, combining medical innovation with personal commitment.

The Foundation of Sustainable Weight Loss

Medication can be a powerful catalyst, but fundamental lifestyle habits remain the bedrock of sustainable weight loss and improved cardiovascular health.

  • Nutritious Diet: Focusing on a balanced, nutrient-dense diet is paramount. For individuals aiming to combat potential muscle loss during weight reduction, a high-protein diet is often recommended. Current dietary guidelines suggest adequate daily protein intake, which may need to be adjusted upwards for those engaging in muscle-building activities or undergoing significant weight loss. Protein not only helps preserve lean muscle mass but also promotes satiety, aiding in caloric control.
  • Regular Exercise: Incorporating physical activity is non-negotiable. For muscle preservation and overall cardiovascular fitness, a combination of aerobic exercise and strength training (e.g., resistance bands, weights) is highly beneficial. Muscle-building workouts are particularly important as they help strengthen muscles and counteract any potential muscle shrinkage that can occur during weight loss, supporting both metabolic health and heart function.
  • Hydration and Blood Sugar Monitoring: Staying adequately hydrated is crucial for overall bodily function and can help mitigate certain side effects of GLP-1 medications, such as palpitations linked to dehydration. For individuals with diabetes, diligent blood sugar monitoring remains essential to prevent hypoglycemia, especially when combining GLP-1s with other diabetes medications.
  • Stress Management and Quality Sleep: These often-overlooked components play a significant role in metabolic health, hormone regulation, and overall well-being. Chronic stress and poor sleep can undermine weight loss efforts and negatively impact cardiovascular health.

These foundational elements, thoughtfully integrated into your daily routine, amplify the benefits of any medical treatment and contribute to long-term success.

The Power of Ongoing Guidance

Achieving and maintaining weight loss, particularly when managing complex conditions like heart disease, is a marathon, not a sprint. The journey is rarely linear, and having consistent support and professional guidance can make all the difference.

Our unlimited support at TrimRx ensures that you have access to resources and encouragement whenever you need them. This continuous engagement means that your questions are answered, your concerns are addressed, and you feel empowered throughout your program. Regular check-ins with medical professionals are vital to monitor your progress, manage any side effects, and make necessary adjustments to your treatment plan. This adaptive approach ensures that your program remains aligned with your evolving health needs and goals, providing the best possible pathway to sustained results. We are here as your steadfast partner, dedicated to fostering a supportive environment that enables you to thrive.

Conclusion: A New Era in Heart Health and Weight Management

The landscape of weight management and cardiovascular health is undergoing a transformative shift, largely driven by the remarkable advancements in GLP-1 receptor agonists like semaglutide and tirzepatide. We’ve explored how these medications, initially developed for type 2 diabetes, have emerged as powerful tools for significant weight loss and, crucially, for reducing the risk of major cardiovascular events in individuals with obesity or overweight and established heart disease, even in the absence of diabetes. This represents a monumental step forward, offering a direct pathway to combat the intertwined challenges of excess weight and heart conditions.

The scientific evidence is compelling, demonstrating not only weight reduction but also direct cardioprotective effects and structural improvements to the heart in specific populations. While understanding potential side effects and ongoing research is important, the overwhelming data points towards these medications as a valuable addition to our arsenal against heart disease.

At TrimRx, we stand at the forefront of this new era, dedicated to merging cutting-edge telehealth innovations with clinically proven weight loss solutions. Our commitment is to provide a personalized, medically supervised experience, grounded in science, delivered with empathy, and characterized by transparent care. We offer comprehensive services, including expert doctor consultations, essential lab work, effective medication options like Compounded Semaglutide, Ozempic®, Compounded Tirzepatide, Mounjaro®, and Wegovy®, alongside unlimited support and convenient shipping—all without hidden fees. We partner with FDA-registered and inspected pharmacies for medication shipping, ensuring safety and quality, and connect you with qualified medical professionals for your personalized care.

Your health journey is unique, and we are here to support you in every step, offering solutions grounded in science and delivered with empathy. To discover how our personalized approach can make a difference in your life, we encourage you to take our free assessment quiz now. Additionally, explore our immediate support supplements like GLP-1 Daily Support and Weight Loss Boost to complement your wellness goals. Partner with us to achieve safe, effective, and sustainable weight loss while prioritizing your heart health.

Frequently Asked Questions (FAQ)

Can I use Ozempic if I have a history of heart attack or stroke?

Ozempic® (semaglutide) is FDA-approved to lower blood sugar in adults with type 2 diabetes. Importantly, for adults with type 2 diabetes and established cardiovascular disease, Ozempic® is also approved to reduce the risk of major cardiovascular events such as heart attack, stroke, or cardiovascular death. This means that if you have type 2 diabetes and a history of heart attack or stroke, your doctor may consider Ozempic® as part of your treatment plan, given its proven benefits in this specific population. However, an individualized medical assessment is always necessary to determine suitability.

What are the main differences between Ozempic and Wegovy regarding heart health?

Both Ozempic® and Wegovy® contain the same active ingredient, semaglutide. The primary difference lies in their FDA approvals and target populations for cardiovascular benefits. Ozempic® is approved for adults with type 2 diabetes and established cardiovascular disease to reduce the risk of major cardiovascular events. Wegovy® is approved for chronic weight management in adults with obesity or overweight with at least one weight-related condition. More recently, in March 2024, Wegovy® received an additional FDA approval to reduce the risk of cardiovascular death, heart attack, and stroke in adults who are obese or overweight and have established cardiovascular disease, regardless of whether they have diabetes. This makes Wegovy® a vital option for a broader group of individuals seeking to protect their heart health while managing weight.

Are there any specific heart-related side effects I should watch out for?

Common side effects of GLP-1 medications are typically gastrointestinal, such as nausea, vomiting, diarrhea, and constipation, which often subside with time and gradual dosing. Regarding heart-related effects, some individuals may experience an increased heart rate or palpitations. These are usually mild and can sometimes be linked to factors like dehydration or low blood sugar. It’s crucial to stay well-hydrated and report any persistent or concerning changes in your heart rate or rhythm to your healthcare provider immediately. While some early research in animals suggested heart muscle changes, comprehensive human trials show overall cardiovascular benefits, including a reduction in major adverse cardiovascular events.

How does TrimRx ensure a safe and personalized experience for individuals with heart conditions?

At TrimRx, our approach is centered on personalized, medically supervised care. We ensure safety and effectiveness for individuals with heart conditions by requiring a thorough medical assessment, which includes a comprehensive health history and lab work, conducted by qualified medical professionals. This process helps determine eligibility for our prescription weight loss medications, which are sourced from FDA-registered and inspected pharmacies. Our comprehensive service includes doctor consultations, unlimited support, and transparent communication to guide you through your journey. While TrimRx facilitates access to care, we partner with these pharmacies for medication shipping and do not provide actual medical supervision ourselves. Your personalized care plan is developed and overseen by a licensed healthcare professional within our network, ensuring your specific health needs, especially those related to your heart condition, are carefully considered and managed. To learn more about how we can support you, we invite you to take our free assessment quiz.

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