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Cardiometabolic Monitoring : A mild, transient increase in resting heart rate (510 bpm) was observed, peaking around week 24 , likely due to glucagon receptor activation and elevated energy expenditure

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All patients received medical, surgical, psychiatric, and nutritional evaluation and counseling

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Randomization across the dose levels were 1:1:1 for PIONEER 1, 3, 8, and 9, whereas PIONEER 2 and 5 included only the 14 mg dose

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Stopping GLP-1 treatment is not a failure

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