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According to one study, a successful outcome of bariatric surgery is one that achieves a loss of 5070% of excess weight or the 2030% loss of the patients initial weight.) The cosmetic fallout of GLP-1s isnt limited to those injecting (and, soon, swallowing) in the name of weight loss

Since muscle is denser than adipose tissue, this favourable body composition change might result in stable or even slightly increased weight despite fat loss and improved metabolic health

Das SS, Bharadwaj P, Bilal M, Barani M, Rahdar A, Taboada P, et al

It was never intended to be a free for all for compounders. By law, in other words, what matters is whether manufacturers are producing enough product to satisfy the market overall not whether every patient has equal access to the drugs