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Affordability Ozempic is very expensive
Your body has built tolerance

Some pharmacies are still getting compounded medications

One way they achieve this is by slowing gastric emptying, meaning food stays in the stomach longer, leading to prolonged feelings of fullness and reduced calorie intake

Neuropharmacology (2020) 162:107813
That includes patients with severe obesity, significant metabolic disease, or a history of losing and regaining weight repeatedly