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The person in the study didnt rely on phentermine and semaglutide alone

In sedentary individuals, BMR constitutes about 60%75% of daily EE and is primarily driven by vital functions of the brain, heart, liver, and kidneys despite these organs comprising only 5%6% of total body weight (Figure 1)

Ask your pharmacy whether they are a 503A or 503B facility, whether they comply with current USP 797 standards, and whether they have conducted stability testing specific to their tirzepatide formulation