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It works by stimulating insulin secretion, inhibiting glucagon secretion, and promoting a feeling of fullness, which can help with weight management

If in doubt, it is safer to replace the vial

You can read the full article at The effect of tesofensine on body weight and body composition in obese subjectssecondary publication This is a summary of the results from a phase II trial evaluating the use of Tesofensine for obesity treatment

The result is a transient inflammatory state that can cause joint pain, fatigue, and general malaise during the active weight loss phase

Most people can continue other medications, but its vital to clarify this with your healthcare provider