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If you: Have contraindications or complex medical needs requiring in-person care Strongly prefer FDA-approved medications and can access them affordably Want comprehensive support beyond medication (nutrition counseling, behavioral therapy, etc.) Are uncomfortable with the regulatory uncertainty around compounded GLP-1s Cannot commit to long-term treatment costs and requirements Then other pathways - in-person obesity medicine, bariatric surgery evaluation, or continued lifestyle-based approaches with professional support - may serve you better