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They say they look much more sad or tired than they feel. The commonality between those two interventions is that theyre associated with very rapid weight loss, which all three doctors posit could be an exacerbating factor here, leading to a more severe version of what happens with any weight loss, as Somogyi puts it

It depends on which medicine you get, like Ozempic, Wegovy, or Rybelsus, and on the dose you take

In each case the underlying absorption is disrupted, and an injection sidesteps the problem

Visit www.fda.gov/medwatch, or call 1-800-FDA-1088

Theyll generally take you about 15 miles upstream before dropping you off so you can paddle back down to Lees Ferry