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Across 300+ Trustpilot reviews and additional ConsumerAffairs and Reddit threads, three patterns repeat

Exercise alone maintained lean mass and preserved hip and spine BMD

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The compound itself a triple GLP-1/GIP/GCGR receptor agonist is identical to the 20mg version

Findings In this randomized clinical trial including 60 US adults with a prespecified interim analysis, the rate of clinically significant RGV was 25.0% vs 3.1% when GLP-1/GIP agonists were continued vs held, respectively, in the periprocedural period