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In the Diabetes Prevention Program Outcomes Study (DPPOS, N=1,800), metformin use for a mean of 12.7 years was associated with a 13% prevalence of B12 deficiency versus 5.4% in the placebo group (P 9%) impairs wound healing regardless of peptide use [4]

Phentermine is an artificial medication that reduces hunger by increasing our energy level thus leading to palpitations of the heart

Second Natures peer-reviewed study published in JMIR Formative Research (2025) compared both medications within our programme: 3 Tirzepatide (Mounjaro) cohort (209 people): 22.1% average weight loss at 12 months 95.2% achieved at least 10% weight loss 83.7% achieved at least 15% weight loss Semaglutide (Wegovy) cohort (130 people): 17.1% average weight loss at 12 months 83.1% achieved at least 10% weight loss 56.2% achieved at least 15% weight loss Both cohorts exceeded clinical trial results, suggesting that comprehensive behavioural support enhances outcomes regardless of which medication you use

The FDA and the EMA have not reached a final conclusion regarding such a causal relationship

Consult a doctor for personalized adviceIm not medical advice

Timing: Your injury occurred while taking the medication or within three months of stopping it