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Heterogeneity was determined using I 2 statistics and Cochranes Q test

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Aim for a minimum of 64 ounces of water daily, increasing to 80 to 100 ounces if you exercise

Pros and Cons MEDVi Pros: Physician-led with thorough lab monitoring Structured medical oversight Proactive follow-ups from a consistent provider Straightforward program without daily engagement requirements Cons: No behavior change or coaching component Basic digital platform No food logging or habit tracking tools Doesn't address weight maintenance after stopping medication Noom Med Pros: CBT-based behavior change program built in Excellent, engaging app with daily curriculum Food logging and weight tracking integrated Health coaching included Can work with brand-name GLP-1s through insurance Addresses long-term weight maintenance, not just loss Cons: No thorough lab work included Medical provider may not be a physician Daily engagement can feel demanding for some patients Multiple touchpoints (coach + provider) can feel fragmented Behavior change approach isn't for everyone Who Should Choose MEDVi MEDVi is the right choice for patients who want a medically focused program with physician oversight and lab monitoring