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In terms of weight loss, compared with the birth weight( 207 pounds), tepoxetine reduced the subjects' average weight by 17 pounds, 21 pounds and 25 pounds, while semaglutide reduced it by 13 pounds
Elfstrm P, Montgomery SM, Kmpe O, et al
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"Until something happens and someone gets hurt, the FDA doesn't have the bandwidth to enforce it." People have also reported sourcing semaglutide without a prescription through international pharmacies, in which case there may be no regulation at all