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"[Losing] five percent of your body weight every three months is considered clinically meaningful that's roughly a pound a week or less." Losing weight too quickly can worsen fatigue and accelerate muscle loss

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FDA warns about serious breathing problems with seizure and nerve pain medicines gabapentin (Neurontin, Gralise, Horizant) and pregabalin (Lyrica, Lyrica CR)

Theyre expensive in part because theyre effective, and patients value what they offer. Now, there is some competition, because there are a handful of these molecules that can be used for weight loss

Frame your role as complementary, not competitive

To minimize risk, look for providers that use reputable compounding pharmacies, ship with proper cold-chain packaging, and maintain transparent communication about their pharmacy partners