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About the Author Chris Smith is the CEO of Fitness World, where he leads with a focus on building high-performing teams, scalable systems, and world-class member experiences

Attach the needle to the pen by pushing it straight onto the pen and then twisting it until it is securely attached

Patrick Holmes: Honoraria for teaching, travel, research and advisory board work from AstraZeneca, Eli Lilly and Novo Nordisk

References ScienceDirect Bremelanotide: pharmacology, toxicology, and therapeutic overview (active metabolite of Melanotan II) FDA Vyleesi (bremelanotide) prescribing information

If weight increases by more than 5 percent or appetite becomes difficult to manage, return to the previous higher dose

Hair loss is not a listed side effect of GLP1 drugs, but rapid weight loss from any method can disrupt hair growth cycles