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Digestive issues start normalizing

Sudden diffuse hair shedding without thinning, that has onset 2 to 8 months after taking Wegovy, or follows another recent stressful event

Contrave May Be Better For: Eating pattern considerations: Strong food cravings that drive overeating Emotional eating or stress eating patterns Feeling addicted to or unable to resist certain foods Eating driven by pleasure/reward rather than hunger History of binge eating (though diagnosed binge eating disorder requires careful consideration) Medical considerations: Depression (may benefit from bupropions antidepressant effect) Desire to quit smoking simultaneously Inability to tolerate GLP-1 medications Preference for oral over injectable medication GI conditions that might worsen with semaglutide Practical considerations: Insurance covers Contrave but not semaglutide Strong aversion to injections Previous success with bupropion for other conditions Semaglutide Is Likely Better For: Eating pattern considerations: Persistent hunger that makes eating less difficult Difficulty feeling satisfied after meals Portion control challenges Frequent snacking due to not feeling full Eating driven by genuine hunger signals Medical considerations: Type 2 diabetes or prediabetes (excellent glucose control) Cardiovascular disease or high CV risk Fatty liver disease Sleep apnea Desire for maximum weight loss Goal considerations: Need to lose 15%+ of body weight Obesity-related health conditions requiring substantial weight loss Previous weight loss attempts have failed to produce adequate results When Either Might Work Many patients dont fit neatly into one category: Mixed eating patterns (both cravings and hunger-driven) No strong contraindications to either Moderate weight loss goals Flexibility on administration route No clear cardiovascular benefit or concern driving choice In these cases, either medication might help, and other factors (cost, insurance, personal preference) may determine the choice

The prescribing information recommends discontinuing semaglutide at least two months before a planned pregnancy

The Never Rule: Never freeze these medications