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Metabolic adaptation, inconsistent dosing, dietary changes, or the natural plateau that many users experience can all reduce the apparent effectiveness
healthcare system $380 billion annually
doi: 10.1016/j.molmet.2025.102222 23 KinneyHCFolkerthRDNelsonMEBrinkLTrachtenbergFLAngalJet al
Regulators caution shows through in no formal approval
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