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"Without adequate testing and confirmation of reliability of supplier test results, you lack scientific evidence that the components or drug products conform to appropriate specifications prior to use in the drug products you manufacture," the agency added

So I tell patients it either works or it doesnt

Nobody in that chain is paid to mention a Cochrane harm signal, because nobody in that chain is selling the compound that has one

What lipotropic injections plausibly contribute is more modest and more defensible: correction of real deficiencies, a tolerable non-stimulant option for patients who cannot or will not take prescription weight loss medication, and a recurring touchpoint that keeps patients engaged with a supervised program

What circulates online are extrapolations from rat studies, vendor suggestions, and community experimentation