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[18] FDA, Withdrawal of Draft Guidance Documents Published Before December 31, 2013, 80 Fed

Chronic stress reduces the appetite-suppressing effectiveness of GLP-1s, and perimenopausal estrogen decline dysregulates the HPA axis that cortisol and GLP-1 mechanisms share, raising baseline cortisol

Obesity specialists routinely see patients respond differently to GLP-1 drugs, and some appear to achieve meaningful weight loss on lower doses than others