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It is compounded by licensed 503A pharmacies in the USA under a prescription from your clinician, and your clinician prescribes it only when it is clinically appropriate for you

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The main reason is public safety

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However, the full effects, particularly on weight loss and long-term blood sugar control (measured by HbA1c), can take several weeks to months to become apparent

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The dual mechanism provides metabolic advantages, including potentially greater weight loss and metabolic improvement , without adding thyroid-specific concerns

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This approach maintains a single injection per week while avoiding unnecessarily small volumes at lower doses

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