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The specific scenario where this applies: Starting weight: 220 pounds, BMI 35 Current weight after 9 months: 180 pounds, BMI 28.5 Plateau duration: 12 weeks A1C: reduced from 6.2% to 5.4% Blood pressure: reduced from 145/92 to 125/78 Triglycerides: reduced from 220 to 110 Patient feels good, no significant side effects, sustainable eating pattern In this scenario, "Zepbound stopped working" may be the wrong frame