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Often, the "best" approach is combination therapy

Levy: First of all, people are not necessarily going just to compounding pharmacies

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Chronic tendon issues may involve degeneration, weakness, scar tissue, poor load tolerance, or a partial tear, so diagnosis and rehab still matter

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Proven alternatives deliver comparable results with established safety: tirzepatide monotherapy produces 15-22% weight loss with FDA approval and extensive clinical data, while CagriSema (cagrilintide + semaglutide) delivers 15-25% weight loss with Phase 3 trial validation and clearer path to medical acceptance