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With oral sema removing the needle barrier, these numbers could multiply, and by the time Lilly mobilizes their own D2C channels, patients will already be stable on sema and we know that switching stable patients is very difficult

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Higher doses increase side effect intensity and cost without proportionally increasing weight loss for patients already responding well

The company is listed with the Better Business Bureau (BBB) in Arizona but is not accredited

A randomized, double-blind, placebo-controlled trial with that same dose equivalent to half a cup (80 g) of cooked greens, and there was a significant decrease in body weight, fat mass, waist circumference, waist-to-height ratio, and body mass index (BMI) compared to placeboand, by a decent amount

It is also banned by WADA (World Anti-Doping Agency) and ASADA, so competitive athletes can (and have) received bans for using it