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When injections or surgery may be a better option For patients seeking more substantial or durable weight loss, injectable medications or bariatric surgery may offer more reliable results

If particulates remain, allow 5 additional minutes of gentle swirling

For example, they cite grey literature (non-peer reviewed reports) that attacks the Cass Review but do not mention the peer-reviewed rebuttal to these attacks, which was published in The BMJ , one of the worlds most prestigious medical journals

Some users report that nausea and heartburn are worst on injection day and the day after

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