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This has not been confirmed in humans, but as a precaution, neither drug should be used by people with a personal or family history of medullary thyroid cancer (MTC) or a rare genetic condition called MEN2

Reduce if gastrointestinal symptoms remain severe after six or more weeks at a given dose level, if significant dehydration results from persistent vomiting or diarrhea, if heart rate increases beyond 15 beats per minute above baseline, or if the side effect burden is causing protocol abandonment

If a licensed Nexa provider determines you're not eligible for GLP-1 therapy, you receive a full refund before anything ships

STEP 5 Trial After 2 years, people still kept the weight offaround 15.2% weight loss, and over 60% lost at least 10% of their starting weight