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So when readers ask which is best without insurance? what they actually want to know is: which one accepts FSA/HSA money, includes the consult and shipping in the price, and doesnt bait-and-switch the rate after the first month

Unreconstituted lyophilized powder stored in the freezer lasts significantly longer, often 12-24 months, so there is no rush to reconstitute vials you do not plan to use within a month

doi:10.1016/j.ajcnut.2024.01.007 Thomsen C, Rasmussen O, Lousen T, Holst JJ, Fenselau S, Schrezenmeir J, et al

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According to obesity treatment guidelines, patients should demonstrate approximately 5% weight loss after 12 weeks at the maintenance dose to continue therapy