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It is the central failure mode of every meal replacement diet, and adding GLP-1 medication to the mix does not eliminate it
Specifically, its most suitable for adults who have a Body Mass Index (BMI) of 27 kg/m or more, along with a related health issue like type 2 diabetes or hypertension
The answer has almost nothing to do with science and almost everything to do with the bureaucratic weirdness of compounding laws
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