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In the general population prescribed GLP-1s, stopping the medications comes with a rebound in weight gain and related metrics, such as blood pressure, cholesterol and blood sugar

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Because if you dont, you just die

[28] Normally, this would be a concern, since insulin can be considered the "energy storage hormone", but its appetite suppressive properties (due to delayed gastric emptying) tilt the scales towards more weight loss -- the point where it's become more than just antidiabetic drug