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Salas-Whalens clinical stance is clear: these drugs should be considered first-line therapy for the disease of obesity, not a last resort after years of failed diets

Pea protein, rich in essential amino acids and highly digestible, has been shown to boost GLP-1 secretion, reduce hunger hormones like ghrelin, and promote prolonged feelings of fullness

Monitoring and adjustment protocols should include: Weight and vital signs at each visit (initially monthly, then quarterly) Assessment of medication tolerance and adherence Evaluation of eating behaviors and physical activity Laboratory monitoring as outlined previously Reassessment of weight-related comorbidities Realistic expectations should be established through shared decision-making