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What's unresolved is worth taking seriously rather than glossing over: no current pricing is visible before intake, and the current Refund Policy's explicit "no guarantee of results" language sits differently than the specific weight-loss guarantee structure described in a February 2026 review of the brand and than guarantee-style phrasing that appears elsewhere in VivioMD's own marketing

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One patient in the semaglutide group discontinued treatment due to severe nausea and vomiting, while the other patient in the metformin group discontinued treatment due to nausea and dyspepsia