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Its attempts to modernize (digital coaching, app integration) havent shaken off its core identity: calorie-counted meals delivered in boxes

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Additionally, extreme caloric deficit combined with GLP-1 therapy can trigger gallstone formation, as rapid weight loss concentrates bile cholesterol

This timing may be influenced by the enhanced endogenous secretion of GLP-1RAs following surgery, which has been shown to contribute to appetite management, insulin secretion, and WL [7476]

These medications include semaglutide (Wegovy) and tirzepatide (Zepbound), which are FDA-approved for chronic weight management, while semaglutide (Ozempic) and tirzepatide (Mounjaro) are approved for type 2 diabetes management