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Behavioral strategies such as food journaling, meal planning, and identifying personal hunger and fullness cues become more important after discontinuation because you no longer have the medication's pharmacological hunger suppression

This is highly important for them

However, most patients find that managing side effects through slower titration, dietary changes, and time yields better long-term results than stopping entirely

The key limitation of oral semaglutide is its strict absorption protocol: empty stomach, minimal water, 30-minute fast before food or other medications

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