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The risk may be increased if this product is used for an extended time, especially in newborns or in people with kidney disease

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Good candidates generally include seniors with: Type 2 diabetes and elevated BMI Cardiovascular disease risk factors where weight reduction would meaningfully reduce risk BMI of 30 or higher with weight-related comorbidities Adequate baseline nutritional status and no significant frailty Patients who warrant more caution include those with significant frailty, malnutrition risk, advanced chronic kidney disease, or a history of gastroparesis

The concern among doctors is that lower prices could lead to self-medication and use outside clinically indicated conditions