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According to the FDA's press release it agreed to approve the drug for obesity based on three randomised, double-blind, placebo-controlled trials during which more than 2,600 patients received Wegovy for up to 68 weeks and more than 1,500 patients received placebo (US FDA 2021)
doi:10.1016/0003-2697(88)90564-7
This can sometimes happen with GLP-1 medications like Mounjaro and may need medical treatment
As part of Eli Lillys campaign against compounded GLP-1s, the company conducted testing of products marketed to contain tirzepatide and B12
Role of vitamin D in ovarian physiology and its implication in reproduction: a systematic review