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This does not mean the medication is not working, as it is building up in your system

Zhang J, Xian TZ, Wu MX, et al
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GLP-1 treatment is safest and most effective when prescribers, dietitians and mental health professionals work together

But as Lambert said, with unapproved products, theres no official agreed-upon standard for purity. I still plan on sending this vial off for testing after more research and thought