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Criteria typically include: [2] Age 18+ with obesity No history of medullary thyroid carcinoma (MTC) or multiple endocrine neoplasia syndrome type 2 (personal or family) Diagnosed severe sleep apnea (excluding central or complex apnea) Sleep study within past 3 years documenting AHI score (apnea-hypopnea index, measuring sleep apnea severity) Currently following a diet and exercise program Tried preferred alternatives or have documented allergies/contraindications If you suspect you have OSA (snoring, daytime fatigue, witnessed breathing pauses), ask your Kaiser PCP for a sleep study referral

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Those with higher rebound risk may benefit from extended tapering, concurrent lifestyle intensification, or bridging strategies such as behavioral coaching or adjunctive pharmacologic support if medically appropriate

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