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Ultimately, the only difference is the maximum weekly dose approved by the FDA for diabetes is 2 mg, and for weight loss, it is 2.4 mg

Heymsfield SB, Gonzalez MC, Lu J, Jia G, Zheng J

The question isn't whether you can stay on Wegovy long-termit's whether continuous access fits your goals and budget

Some patients may require dose escalation to achieve optimal weight loss, though this must be balanced against gastrointestinal tolerability and should only be adjusted under medical supervision

Managing and Minimizing Side Effects in Your First Weeks Starting with intentional dietary adjustments can reduce early nausea and gastrointestinal stress

A hepatologist or gastroenterologist can help assess nutrition status, bleeding risk, fluid retention, and symptom patterns