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The participant must be at least 18 years old and: Have a BMI of 35 or greater, or Have a BMI of 30 or greater with a diagnosis of diastolic heart failure, uncontrolled hypertension or chronic kidney disease Stage 3a or higher, or Have a BMI of 27 or greater with pre-diabetes, previous myocardial infarction or stroke, or symptomatic peripheral artery disease

Cardiovascular disease remains the leading cause of death among people with obesity, with overlapping drivers including insulin resistance, dyslipidemia, inflammation, sleep apnea, and hemodynamic load

Follow the hold time/click guidance in your specific PIL (e.g., some pens require waiting for a second click)

It predisposes pets to numerous health issues, including: Diabetes mellitus Osteoarthritis Cardiovascular diseases Reduced lifespan Traditional weight management strategies involve diet control and increased activity, but these often arent enough for severely obese pets

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