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Some researchers use isotonic bacteriostatic saline, which combines the tonicity benefits with preservation

Tradeoffs: Slowest onboarding in this list (lab orders extend the timeline)

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Notably, UHCs update eliminated any step requirement to try Wegovy/Saxenda before Zepbound: instead, it required a trial of generic phentermine (alone or combined with topiramate) first ( [44] )

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