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Medications from American 503B compounding pharmacies are of the highest quality

It doesn't work that way
N Engl J Med 334:574579 Amori RE, Lau J, Pittas AG (2007) Efficacy and safety of incretin therapy in type 2 diabetes: systematic review and meta-analysis

Not every person needs the maximum dose to achieve meaningful weight loss
It's important to understand that stopping semaglutide does not cause immediate weight gain, but it removes a significant tool that was helping to maintain weight loss
