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The holistic approach we try and take when someone loses weight is to get some psychological support as to why they have been struggling with obesity in the first place

The ESSENCE trial, published in the New England Journal of Medicine in April 2025, provides strong evidence for semaglutide (the drug in Wegovy) in fatty liver disease

Furthermore, the weight loss effect of semaglutide was far greater than comparators (who either receive a placebo or other GLP-1 agonists) regardless of basal BMI[1]

You may have a good rapport with your PCP, and they should already understand your medical history and overall health, making it easy for them to determine if semaglutide is a suitable option

Is your sugar under control