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LillyDirect offers single-dose vials via self-pay for uninsured patients

However, both medications suppress appetite and may affect cardiovascular function, requiring careful medical supervision and monitoring when used together

Rapid weight loss at this rate increases risk of gallstones, muscle loss, electrolyte imbalances, and cognitive impairment

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They are typically prescribed for people with a BMI of 35 kg/m or more (or 32.5 kg/m or more for people from certain ethnic backgrounds) with at least one weight-related comorbidity, and who have committed to a weight management programme

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