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First, diabetes blunts weight loss by roughly 6 to 7 percentage points versus non-diabetic obesity at the same dose, because long-standing high glucose dampens the metabolic cascade the drug works through. Second, the 10-to-15 mg step keeps adding weight loss in every band

One heads-up: we don't accept or bill insurance, so B12 shots are self-pay

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Sarhan S et al

Adipogenesis: from stem cell to adipocyte