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Case Study 4: Marks Off-Label Use Mark, a 70-year-old Medicare beneficiary, had a unique situation where his doctor prescribed off-label B12 shots

A quick supply sanity-check: a 5 mg vial reconstituted to 2.5 mg/mL holds 20 0.25 mg doses, but because the dose climbs each month, one 5 mg vial does not cover a full titration

Results from this trial suggested that after 28 days of treatment, the setmelanotide group demonstrated a significant mean weight reduction of 3.48 kg from baseline, accompanied by a significant decrease in mean waist circumference of 5.83 cm

Ferrari et al

, an American Board of Obesity Medicine-certified expert in metabolic and bariatric endoscopy and the associate director of research at True You Weight Loss

During your consultation, we can explain the differences and discuss whether a peptide-based plan may fit your goals