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> In particular we shouldn't use them without trying behavior modification first.

As someone who is diabetic and who has lost a lot of weight on semaglutide I can assure you that several genuine and difficult attempts to modify behavior were attempted before getting on the drug.

I guarantee you that I'm not the only one - I'd expect the vast majority (75%+) of people using semaglutide to have attempted behavior modification before starting the drug.