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If you don't mind getting injections, have nutrient absorption issues, and are willing to make the trip to the doctor's office, then B12 injections may be the best option for you

Obes Surg 33(4):10171025 Lautenbach A et al (2022) The potential of semaglutide once-weekly in patients without type 2 diabetes with weight regain or insufficient weight loss after bariatric surgerya retrospective analysis

B12 injections are generally well tolerated

Dual-energy X-ray absorptiometry (DEXA) scans, which measure bone mineral density and body composition, might potentially exhibit an elevated body fat percentage as a result of Ipamorelin

It works primarily by suppressing appetite, slowing gastric emptying, and increasing energy expenditure

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