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Success stories claiming 15+ pounds monthly beyond month one without mentioning dietary restriction or starting BMI above 35 are statistically unlikely and should be evaluated critically

& Samet, J

Pathogenesis of rheumatoid arthritis: The role of synoviocytes

What Direct Meds does: - Hosts an intake questionnaire and connects you with a provider - Routes prescriptions to partner compounding pharmacies for fulfillment - Bills you monthly through subscription - Provides asynchronous messaging with the medical team - Handles dose adjustments through the portal What Direct Meds does not do: - Dispense brand-name Mounjaro, Zepbound, Ozempic, or Wegovy - Accept insurance for compounded GLP-1s (no provider does) - Provide in-person medical care - Substitute for a primary care physician relationship - Guarantee a specific compounding pharmacy on every shipment The compounding partner question: Direct Meds, like most telehealth platforms in the segment, may route to multiple compounding pharmacies

Acknowledgements This work has been supported by the Amsterdam Reproduction & Development Research Institute and the China Scholarship Counsel (grant number 202006300005 to Wenqing Liu)

Your results should be interpreted with a qualified healthcare provider to shape a personalized fat-loss and muscle-preservation strategy