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For Wegovy specifically, patients who cannot tolerate the 2.4 mg dose may use 1.7 mg as a maintenance dose

What we know from shorter-term studies and animal models suggests that the beneficial changes (increased Akkermansia, increased Bifidobacterium) likely persist as long as the medication continues, while the diversity reduction may stabilize or partially reverse as the gut adapts

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During the process, we will arrange routine follow-up appointments, either in person, on the phone, or via telemedicine