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It may be something upstream that is preventing any weight loss medication from working effectively

That is not a claim from a fitness forum it is the conclusion of multiple randomized, placebo-controlled trials and the basis of an FDA approval

Similarly, all observed gastrointestinal (GI) adverse events have been reported as mild or moderate, with the majority (84%) reported as mild

It is an efficient treatment at replenishing vitamins and minerals because it bypasses the digestive system allowing 100% absorption