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At the tipping point, many people experience a rapid decline in health, all due to toxicity build up and inflammation

Some users report tiredness during the first weeks of treatment, likely related to reduced caloric intake rather than a direct drug effect

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The insurance company or policy may partially or fully cover the medication, though some plans require prior authorization for reimbursement

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This notion is speculative at present, as no change in cognition was observed in one small RCT of exenatide in schizophrenia 140 , while a positive cognitive effect of liraglutide was only seen in an even smaller non-randomized open-label investigation of people with either depressive or bipolar disorders 178,179