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It plays a key role in glucose and appetite regulation by: Stimulating insulin release (glucose-dependent) Suppressing glucagon secretion Slowing gastric emptying Increasing satiety and reducing appetite In people with type 2 diabetes, this GLP-1 response is impaired leading to poor glycemic control

If 4 mg produces dramatic appetite suppression and you are losing weight consistently, there may be no need to push to 8 or 12 mg

Confirm whether GLP-1 access, semaglutide, tirzepatide is currently available at this exact location

Also the path with the highest short-term regain risk if the habits are not already in place