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Importantly, the cardiovascular risk reduction was not entirely due to weight loss alone, as it occurred even in patients who failed to lose more than 5% of their body weight

Discontinue if the patient cannot tolerate the 2.4 mg dose

As obesity prevalence rises alongside ocular complications, anti-obesity medications offering both metabolic and ocular benefits may reduce eye disease burden in affected populations

For patients with persistent reflux symptoms despite 8 weeks of PPI therapy or those with alarm features, referral to gastroenterology for upper endoscopy may be warranted, consistent with American College of Gastroenterology guidelines

She needed a solution

Diet and exercise are still necessary