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Obesity is a complex, chronic condition influenced by genetic, metabolic, and psychological factors

The FDA's focus here is on the integrity of the verification step

Most people will begin to notice a reduced appetite and cravings within the first week or two, but this does not always translate to immediate weight loss on the scale

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Those with a history of arrhythmias, uncontrolled hypertension, coronary artery disease, or previous cardiac events should approach this combination with extreme caution