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This group frequently presents with: Burning tongue Throat irritation Voice fatigue Dry cough But it still does not recognise it as dry mouth

Prevention: Always confirm the actual volume in mL

Consider: Escalating to next dose tier Evaluating adherence and lifestyle factors Checking for medication-interfering conditions (hypothyroidism, PCOS, sleep apnea) Discussing alternative treatments Dose-response comparison table: Wegovy vs Zepbound Data from STEP 1 (Wilding et al., NEJM 2021) and SURMOUNT-1 (Jastreboff et al., NEJM 2022)

Many cheaper alternatives may contain diluted or ineffective version of the peptide

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