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if morbidly obese and weight would not budget with lifestyle modification, the pros and cons would have to be weighed with fully informed consent. I agree with your analogy. Problem is these "wonder drugs" are being prescribed with impunity and WITHOUT being an adjunct to lifestyle modifications. Just as "loose weight fast" like "get rich quick"

How do you define "extremely rare"? Perhaps true on a population basis, but not to the individual that ends up with permanent gastroparesis.

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