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10.1016/j.lfs.2021.119824 104 World Health Organization (2020)

In a minority of patients, Garvey has seen fatigue syndrome set in following rapid or profound weight loss

Products are sold under the "research chemical" or "not for human consumption" designation, which is a legal positioning that carries real risk: no GMP oversight is required, no adverse event reporting is required, and the consumer has no regulatory recourse if a product is mislabeled