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The FDA determined the withdrawal was not for reasons of safety or effectiveness it was commercial

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If ALT/AST levels exceed 3 times the upper limit of normal, if bilirubin is rising, if there is a cholestatic pattern (raised ALP/GGT with jaundice), or if symptomatic liver disease develops, arrange urgent assessment and consider stopping treatment pending evaluation

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Their more affordable options, like the Wegovy or Ozempic oral pill, start around $298/mo once you include the membership