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Description
Kaiser Northwest, for example, requires: (1) documented diet and exercise program, (2) failure of at least 2 weight loss medications (phentermine, Qsymia, Contrave, etc.), AND (3) a minimum 6-month trial of semaglutide (Wegovy or Ozempic) that was ineffective or not tolerated
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[1] Antacids or alginates may help if reflux contributes to your symptoms

Identifying genetic predispositions to gastric sensitivity helps your provider anticipate heartburn risk and adjust your starting dose accordingly, reducing side effect severity before it starts
