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What to Expect in the First 4 Weeks on Wegovy The first month is for letting your body adjust to the new mechanism

So they're going to give them insulin and then they're going to have them eat a set amount of carbohydrates at every meal for the insulin cover

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Its likely due to an indirect effect of the medication reducing appetite to a point where people dont eat enough, and their bodies enter starvation mode whereby metabolism effectively grinds to a halt to ensure sufficient energy delivery to vital organs