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Most cases of semaglutide not working are actually dosing or titration issues Nearly half of GLP-1 patients stop at 180 days due to side effects (52%), supply issues (33%), and cost (25%) A 2025 study found patients seeing an obesity specialist were 8 times more likely to stick with GLP-1s Rivas Medical Weight Loss has been treating obesity since 1991

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Later in the same section, however, the arbitrators wrote that Salazar was so consumed with getting the best performance he could out of his athletes, that "unfortunately, that desire clouded his judgment in some instances, when his usual focus on the rules appears to have lapsed." The athletes in Salazar's program have been subject to rigorous drug testing over the years without a positive