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No matter how strict I was the scale would not move and my energy felt flat

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Then cut them in half again

Alternative Weight Management Options if Saxenda Isn't Working If Saxenda fails to produce adequate appetite suppression or weight loss after 12 weeks at the maintenance dose (defined by NICE as less than 5% body weight loss), your clinician should review your treatment plan and consider alternative approaches

The vagal nerve may also be involved (96) and somatostatin exerts a strong inhibitory influence (47)

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