The way your body processes an SSRI while taking a GLP-1 may differ from someone elses experience
The SELECT trial showed semaglutide produces a 20% reduction in major cardiovascular events in patients with obesity and established heart disease

The CVS Caremark standard step therapy protocol for obesity medications follows this sequence: Step 1: Generic oral weight-loss medications (must try for 90 days minimum) Phentermine 37.5 mg daily, OR Orlistat 120 mg three times daily, OR Naltrexone/bupropion ER (Contrave) Step 2: Preferred GLP-1 agonist (if Step 1 fails or contraindicated) Depends on plan formulary Some plans require trying Ozempic off-label before Wegovy Others require trying liraglutide (Saxenda) first Step 3: Wegovy (if Steps 1 and 2 fail) Requires documentation of inadequate response (less than 5% body weight loss after 90 days) OR intolerable side effects OR documented contraindication "Failure" is defined as: Less than 5% total body weight loss after 90 consecutive days at therapeutic dose, OR Intolerable side effects documented by prescriber, OR Medical contraindication (documented allergy, drug interaction, or condition that contraindicates use) You cannot skip steps by saying you don't want to try phentermine

It can only be obtained with a doctors prescription
It's gonna cause inflammation and that inflammation is gonna cause heart disease and cancer
After 35 days (five half-lives), around 3% remains