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Complete medical history with obesity-specific focus Physical examination: BMI, waist circumference, blood pressure, thyroid palpation Laboratory studies: comprehensive metabolic panel, lipid panel, HbA1c, fasting insulin, TSH, calcitonin (if thyroid concerns), lipase Screening for eating disorders (particularly binge eating disorder and bulimia) Medication reconciliation to identify potential interactions Depression and suicidal ideation screening (PHQ-9) Semaglutide Dosing Schedules and Escalation Protocols Dosing is where semaglutide training for physicians has the most immediate clinical impact

Hydration Strategies for Athletes Pre-Exercise: 500600 mL 23 hrs before, plus 200300 mL 1020 min before

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