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Most will follow Zepbounds criteria, which require a BMI of 30 or higher, or 27 with a related condition such as high blood pressure
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doi: 10.1080/14656566.2020.1795132

In some cases, patients were getting up to 20 times more of the drug than they should have, either because they were injecting themselves with larger doses than intended or because their prescribers were "miscalculating" the dose

These side effects usually improve once your body adjusts to the medicine
