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Various studies have been performed recently too, such as this one by the US National Library of Medicine, but there is no conclusive evidence of it working for skin lightening yet

Missing Documentation for Long-Term Use: Update documentation for long-term therapy, and ensure that Z-codes are used to support continuous treatment

Most providers require obesity (BMI 30+) or overweight with comorbidities (BMI 27+ with conditions like high blood pressure, high cholesterol, or sleep apnea)

All is Not Weight Lost: Other pharma giants are circling entry into the GLP-1 market, in a sign that its about to get much more competitive (and a rationale for Mercks caution)