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For an ambitious person, struggling with weight that resists diet and exercise is more than just a number on a scale

This is a precaution to protect both you and the blood supply, not a direct restriction related to the medication itself

Forsmeier et al (2017) have an excellent review that outlines the problems with a culture that pushes towards increasingly unlikely hypotheses (see also Measey, 2021 on Type I errors)

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By working on two hormones, it often leads to greater reductions in weight and blood sugar compared to semaglutide